Individual
SAMANTHA DAWN BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
Mailing address
PO BOX 36, ARTHURDALE, WV 26520-0036
(304) 276-1784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3014
WV
101YP2500X
Professional Counselor
3014
WV
101YP2500X
Professional Counselor
689
WV
Other
Enumeration date
10/10/2022
Last updated
04/13/2026
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