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Individual

L. ALLYSON RADENHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
200 KANAWHA TER STE 2, SAINT ALBANS, WV 25177-2808
(304) 760-9945
Mailing address
PO BOX 172, CULLODEN, WV 25510-0172
(304) 760-9945

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2448
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065
FIRST STEPS CBIS
KY
Enumeration date
03/19/2007
Last updated
07/28/2020
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