Organization
SANDRA D. STREET MA, LPC
Active
Other names
Street Consulting & Behavioral Serv. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA D. STREET MA, LPC (OWNER)
(304) 242-2817
Entity
Organization
Contact information
Practice address
40 12TH ST, SUITE 201, WHEELING, WV 26003-3279
(304) 242-2817
(304) 242-5161
Mailing address
PO BOX 6101, WHEELING, WV 26003-0736
(304) 242-2817
(304) 242-5161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10053
—
101YP2500X
Professional Counselor
Primary
1135
WV
101YP2500X
Professional Counselor
37956
WV
101YP2500X
Professional Counselor
C0004992
OH
Other
Enumeration date
05/26/2007
Last updated
03/20/2014
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