Individual
MRS. MELISSA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MABC, LPC
Contact information
Practice address
16 LEON SULLIVAN WAY, CHARLESTON, WV 25301-2402
(304) 346-9689
(304) 345-4601
Mailing address
16 LEON SULLIVAN WAY, CHARLESTON, WV 25301-2402
(304) 346-9689
(304) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2190
WV
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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