Organization
CLEAR MIND COUNSELING AND NEUROFEEDBACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ANDREW JOHNSON II LPC, MA (OWNER)
(304) 992-4747
Entity
Organization
Contact information
Practice address
2947 JEFFERSON ST N STE 5, LEWISBURG, WV 24901-5796
(304) 992-4747
Mailing address
2947 JEFFERSON ST N STE 5, LEWISBURG, WV 24901-5796
(304) 261-3470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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