Individual
JO A WEISBROD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
128 W WASHINGTON ST, LEWISBURG, WV 24901-1327
(304) 647-3311
(304) 645-2372
Mailing address
HC 40 BOX 41, LEWISBURG, WV 24901-8811
(304) 647-3311
(304) 645-2372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
850
WV
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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