Individual
ROBIN LYNN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 888-4996
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 888-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BP00454818
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489000
—
WV
Enumeration date
04/25/2022
Last updated
04/25/2022
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