Individual
MR. GARY WAYNE AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
UNITED SUMMIT CENTER, #6 HOSPITAL PLAZA, CLARKSBURG, WV 26301
(304) 623-5661
(304) 623-2989
Mailing address
1371 OVERHILL RD, FAIRMONT, WV 26554-2414
(304) 363-8583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1648
WV
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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