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Organization

COALFIELD FAMILY SERVICES, PLLC

Active
Other names
Coalfield Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY E JUDE JR. LICSW (OWNER)
(304) 648-7100
Entity
Organization

Contact information

Practice address
20824 ROUTE 52, FORT GAY, WV 25514-7074
(304) 648-7100
(304) 648-7160
Mailing address
20824 ROUTE 52, FORT GAY, WV 25514-7074
(304) 648-7100
(304) 648-7160

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1532
WV
1041C0700X
Clinical Social Worker
Primary
DP00944783
WV
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/31/2015
Last updated
09/21/2021
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