Individual
PATRICK WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 VAN VOORHIS RD STE J, MORGANTOWN, WV 26505-2737
(304) 212-5526
Mailing address
1111 VAN VOORHIS RD STE J, MORGANTOWN, WV 26505-2737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
456
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456
PROVISIONAL LICENSE NUMBER
WV
Enumeration date
05/22/2018
Last updated
05/22/2018
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