Individual
DINA KAY THISTLETHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1573 WASHINGTON STREET EAST, CHARLESTON, WV 25311
(304) 343-5554
(304) 343-8492
Mailing address
1573 WASHINGTON STREET EAST, CHARLESTON, WV 25311
(304) 343-5554
(304) 343-8492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1225
WV
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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