Individual
REGINA BURGESS CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1062 MAPLE DR, SUITE 1, MORGANTOWN, WV 26505-0809
(304) 599-5751
(304) 599-2124
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1578
WV
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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