Individual
LEAH CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
37 W MAIN ST, BUCKHANNON, WV 26201-2235
(304) 473-5634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
04/08/2026
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