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Individual

KELLY MICHELLE SERGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
845 4TH AVE STE 301, HUNTINGTON, WV 25701-1470
(304) 523-8911
(304) 523-8912
Mailing address
845 4TH AVE STE 301, HUNTINGTON, WV 25701-1470
(304) 523-8911
(304) 523-8912

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
1912
WV

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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