Organization
MAGNOLIA FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LOWTHER (OWNER)
(304) 203-1519
Entity
Organization
Contact information
Practice address
241 FRANKLIN DR, BRIDGEPORT, WV 26330-6934
(304) 203-1519
Mailing address
726 E PARK AVE, FAIRMONT, WV 26554-4115
(304) 203-1519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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