Individual
MATTHEW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 HARRISON AVE, SAINT ALBANS, WV 25177-1917
(304) 543-9696
Mailing address
716 LEE ST E STE 201, CHARLESTON, WV 25301-1707
(304) 807-6227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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