Individual
LUCAS ZIEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 FAYETTE ST, MORGANTOWN, WV 26505-0188
(365) 930-4381
Mailing address
215 EASTGATE DR, MORGANTOWN, WV 26508-5940
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655929671
HPSO
—
Enumeration date
05/22/2018
Last updated
05/22/2018
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