Individual
DONALD R WARMOUTH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4625 ROUTE 152, LAVALETTE, WV 25535-4500
(606) 225-2666
Mailing address
4625 ROUTE 152, LAVALETTE, WV 25535-4500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175784
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162433
OH
Other
Enumeration date
02/09/2021
Last updated
04/28/2023
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