Individual
JESSICA HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
4855 MACCORKLE AVE SW, SUITE 200, SOUTH CHARLESTON, WV 25309-1331
(304) 720-4444
Mailing address
121 6TH ST, DUNBAR, WV 25064-3204
(304) 552-5597
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00942576
WV
Other
Enumeration date
03/23/2017
Last updated
04/07/2023
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