Individual
REBECCA FIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 RIDGEWAY DR, BRIDGEPORT, WV 26330-1176
(304) 672-1051
Mailing address
175 RIDGEWAY DR, BRIDGEPORT, WV 26330-1176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1491
WV
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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