Individual
MRS. MARY CLARK GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
130 PRINCETON AVE, BLUEFIELD, WV 24701-2959
(681) 339-0826
Mailing address
388 MOUNT JACKSON HEIGHTS RD, PRINCETON, WV 24739-8413
(304) 320-1643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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