Individual
RACHEAL IAQUINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 JERRY DOVE DR STE 102, BRIDGEPORT, WV 26330-9166
(304) 244-2471
Mailing address
34 ELEPHANT WALK, FAIRMONT, WV 26554-7968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1004
WV
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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