Individual
MRS. LARA L COURRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
130 CENTER ST, MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC, KEYSER, WV 26726-3520
(304) 788-1113
Mailing address
520 REYNOLDS TER, KEYSER, WV 26726-2811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1806
WV
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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