Organization
PSYCHOTHERAPY SERVICES OF MORGANTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MARIE CZAJKA LICSW (CLINICAL SOCIAL WORKER/OWNER)
(304) 685-4631
Entity
Organization
Contact information
Practice address
1286 SUNCREST TOWN CENTRE DRIVE, MORGANTOWN, WV 26505-1828
(304) 685-4631
(304) 381-2724
Mailing address
1286 SUNCREST TOWN CENTRE DRIVE, MORGANTOWN, WV 26505-1828
(304) 685-4631
(304) 381-2724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00940332
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CZSW33961
MEDICARE
WV
Enumeration date
10/18/2012
Last updated
10/18/2012
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