Individual
WILLIAM J PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LPC
Contact information
Practice address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
(304) 723-0665
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
(304) 723-0665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
199
WV
104100000X
Social Worker
Primary
CP00455139
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000145928
MOUNTAIN STATE BCBS
WV
05
—
0005456001
—
WV
01
—
172723
TRICARE
WV
01
—
2070075
CIGNA
WV
01
—
243490000
MAGELLAN MIS NUMBER
WV
01
—
Y141569
HEALTH PLAN
WV
Enumeration date
12/06/2006
Last updated
05/26/2010
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