Individual
KATHERN ASHLEYMARIE COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CROSSWIND DR, FAIRMONT, WV 26554-9118
(304) 296-1731
(304) 363-2228
Mailing address
10 CROSSWIND DR, FAIRMONT, WV 26554-9118
(304) 296-1731
(304) 363-2228
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1609295112
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609295112
—
WV
05
—
NA
—
WV
Enumeration date
10/06/2022
Last updated
10/06/2022
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