Individual
AMY RENAE SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2390 KANAWHA STATE FOREST DR, CHARLESTON, WV 25314-9080
(304) 389-5730
Mailing address
PO BOX 8880, SOUTH CHARLESTON, WV 25303-0880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
01/10/2012
Last updated
10/29/2024
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