Organization
LOUIS A. JOHNSON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE RENEE ELSTER PSY.D. (PSYCHOLOGIST)
(304) 623-3461
Entity
Organization
Contact information
Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
243 CHERRY ST, MORGANTOWN, WV 26501-6113
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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