Individual
JANICE HAROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
3001 STAUNTON RD, HUNTINGTON, WV 25702-1226
(304) 939-5174
Mailing address
3001 STAUNTON RD, HUNTINGTON, WV 25702-1226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169574
OH
171M00000X
Case Manager/Care Coordinator
CDCA.169574
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453118
—
OH
Enumeration date
02/02/2018
Last updated
06/01/2022
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