Organization
BLUE CARDINAL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEEGAN DANIEL CAMPBELL LICSW (OWNER, BEHAVIORAL THERAPIST)
(304) 996-3639
Entity
Organization
Contact information
Practice address
235 HIGH ST STE 509, MORGANTOWN, WV 26505-5454
(304) 602-7332
Mailing address
235 HIGH ST STE 509, MORGANTOWN, WV 26505-5454
(304) 602-7332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
05/08/2024
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