Individual
MRS. COLLEEN MARIE CALDWELL-MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
71 WAYNE ST, FORT GAY, WV 25514-8518
(304) 648-5544
(304) 648-5989
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103071
KY
101YP2500X
Professional Counselor
Primary
2220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214647
—
OH
05
—
1609201342
—
WV
05
—
7100266790
—
KY
Enumeration date
09/12/2013
Last updated
01/25/2024
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