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Organization

ADVANTAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIE A ESTEP PH.D. (ADDICTIONS SPECIALIST)
(304) 346-8829
Entity
Organization

Contact information

Practice address
606 FORT HILL DR, CHARLESTON, WV 25314-1070
(304) 346-8829
(304) 346-8829
Mailing address
2402 KANAWHA BLVD E, CHARLESTON, WV 25311-2323
(304) 346-8829
(304) 346-8829

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06-311
WV
251S00000X
Community/Behavioral Health Agency
22450179
WV

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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