Individual
MRS. KATHY DIANE WYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
616 HARRISON ST, PRINCETON, WV 24740-3141
(304) 487-3487
(681) 282-5441
Mailing address
533 MISTY HILLS DR, PRINCETON, WV 24739-6453
(304) 320-0498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1868
WV
252Y00000X
Early Intervention Provider Agency
—
WV
Other
Enumeration date
08/03/2015
Last updated
10/24/2024
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