Individual
KACIE BODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW021581
PA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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