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Individual

MRS. DANA ADRIENNE NUGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
1200 HARRISON AVE, STE 121, DAVIS, WV 26260-0044
(304) 257-8232
(304) 866-4342
Mailing address
PO BOX 44, DAVIS, WV 26260-0044
(307) 257-8232
(304) 866-4342

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1843
WV
101YP2500X
Professional Counselor
PC004416
PA
103T00000X
Psychologist
999
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810017759
WV
Enumeration date
09/13/2007
Last updated
04/30/2024
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