Individual
MRS. GAIL ARLENE SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
640 FAIRFAX ST, SUITE #3, BERKELEY SPRINGS, WV 25411-1622
(304) 258-5353
(304) 258-9313
Mailing address
PO BOX 903, BERKELEY SPRINGS, WV 25411-0903
(304) 258-5353
(304) 258-9313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1001
WV
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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