Individual
JESSICA D KLEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
225 AUGUSTINE AVE, CHARLES TOWN, WV 25414-4431
(681) 252-3334
Mailing address
225 AUGUSTINE AVE, CHARLES TOWN, WV 25414-4431
(681) 252-3334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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