Organization
MORGANTOWN PASTORAL COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID MOSES ED.D. (DIRECTOR)
(304) 599-5751
Entity
Organization
Contact information
Practice address
1062 MAPLE DR STE 1, MORGANTOWN, WV 26505-2815
(304) 599-5751
(304) 599-2124
Mailing address
1062 MAPLE DR, SUITE1, MORGANTOWN, WV 26505-0809
(304) 599-5751
(304) 599-2124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710123
BLUE CROSS BLUE SHIELD
WV
05
—
0203677000
—
WV
Enumeration date
11/16/2006
Last updated
06/03/2010
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