Individual
MRS. HEATHER MARIE BRAGG MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 598-4214
(304) 598-1642
Mailing address
255 SCOTT AVE, MORGANTOWN, WV 26508-8803
(304) 285-7101
(304) 285-7134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2108
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
2108
WV
101YM0800X
Mental Health Counselor
2108
WV
101YP2500X
Professional Counselor
Primary
2108
WV
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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