Individual
JENNIFER L GREGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 BIGLEY AVENUE, CHARLESTON, WV 25302
(304) 746-2918
(304) 746-2919
Mailing address
PO BOX 20033, CHARLESTON, WV 25362-1033
(304) 746-2918
(304) 746-2919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1083064695
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9435000000
—
WV
05
—
9435000001
—
WV
Enumeration date
10/27/2016
Last updated
10/27/2016
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