Individual
KATELYN REBEKAH PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BRIDGEPORT AVE, BRIDGEPORT, WV 26330
(304) 848-5770
Mailing address
100 BRIDGEPORT AVE, BRIDGEPORT, WV 26330
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WV
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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