Individual
MR. ROBERT ALEXANDER ERCOLINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MS
Contact information
Practice address
1421 STADIUM DR, BLUEFIELD, WV 24701-3319
(574) 360-9993
Mailing address
710 ALBEMARLE ST, BLUEFIELD, WV 24701-4508
(304) 320-6641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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