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Organization

WV INSTITUTE FOR SPIRITULIATY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROLE ANNE RILEY LPC (EXECUTIVE DIRECTOR)
(412) 901-4259
Entity
Organization

Contact information

Practice address
1601 VIRGINIA ST E, CHARLESTON, WV 25311-2113
(304) 345-0926
(304) 345-8206
Mailing address
1601 VIRGINIA ST E, CHARLESTON, WV 25311-2113
(304) 345-0926
(304) 345-8206

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1228
WV

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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