Individual
JUANITA ALESIA BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 BROWN RD, MARTINSBURG, WV 25404-7282
(304) 267-3300
(304) 274-1876
Mailing address
715 BROWN RD, MARTINSBURG, WV 25404-7282
(304) 267-3300
(304) 274-1876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
439
WV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
439
WV
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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