Individual
AVA LEE ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
310 4TH ST, NEW HAVEN, WV 25265-1153
(304) 882-8259
Mailing address
PO BOX 179, NEW HAVEN, WV 25265-0179
(304) 882-8259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2324
WV
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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