Individual
ELI BRESOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROCIIONL LPC
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 396-6330
Mailing address
1100 VILLAGE WAY, FAIRMONT, WV 26554-1416
(304) 669-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
660
WV
101YP2500X
Professional Counselor
Primary
2857
WV
Other
Enumeration date
08/11/2021
Last updated
03/17/2025
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