Individual
SETH LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. COUNSELING
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
Mailing address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 400-8459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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