Individual
KENT PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
142 JAMES MONROE DR, LINDSIDE, WV 24951-7168
(304) 772-3064
Mailing address
PO BOX 590, UNION, WV 24983-0590
(304) 956-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3023
WV
Other
Enumeration date
09/18/2024
Last updated
01/29/2025
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