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Individual

LEA MARIE LARCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC, AADC, ALPS

Contact information

Practice address
4701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1950
(304) 756-5804
Mailing address
4701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1950
(304) 756-5804

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
WV
101YP2500X
Professional Counselor
Primary
2551
WV

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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