Individual
JESSICA KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FIRST AVE, HUNTINGTON, WV 25702
(304) 526-8830
Mailing address
2900 FIRST AVE, HUNTINGTON, WV 25702
(304) 526-8830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2102
WV
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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