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Individual

CHARLES DOUGLAS PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, ALPS

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
276481
WV
101Y00000X
Counselor
C.1801567
OH
101YM0800X
Mental Health Counselor
123
WV
101YP2500X
Professional Counselor
Primary
2158
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005355002
WV
Enumeration date
03/05/2012
Last updated
03/18/2023
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