Individual
SHAWNA BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
2001 MCCOY RD STE 105, HUNTINGTON, WV 25701-4931
(304) 544-4303
Mailing address
2001 MCCOY RD STE 105, HUNTINGTON, WV 25701-4931
(304) 544-4303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2746
WV
Other
Enumeration date
07/09/2019
Last updated
11/22/2024
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