Individual
ASHLEE RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
Mailing address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
208
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
WV
Enumeration date
12/09/2014
Last updated
12/09/2014
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