Individual
RANDY TYLER FERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
131 PINEVILLA DR, BECKLEY, WV 25801-9358
(304) 890-4781
Mailing address
131 PINEVILLA DR, BECKLEY, WV 25801-9358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/20/2024
Last updated
04/22/2026
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