Individual
TAYLOR NICHOLE OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 JEFFERSON AVE, GLEN DALE, WV 26038-1326
(304) 238-8579
Mailing address
608 JEFFERSON AVE, GLEN DALE, WV 26038-1326
(304) 238-8579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2908
WV
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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