Individual
JUDITH BERTENTHAL-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1002 S DAVIS AVE, ELKINS, WV 26241-3528
(304) 636-7623
Mailing address
26 PINEWOOD DR, ELKINS, WV 26241-9556
(304) 636-7623
(304) 637-1482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
524
WV
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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