Individual
LISA MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 STRATTON ST, LOGAN, WV 25601-4015
(304) 752-8972
(304) 752-8977
Mailing address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 752-8972
(304) 752-8977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2390
WV
Other
Enumeration date
06/04/2018
Last updated
09/24/2020
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