Individual
AMY LYNN BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
401 10TH ST, HUNTINGTON, WV 25701-2200
(304) 523-9673
(304) 523-9674
Mailing address
401 10TH ST, HUNTINGTON, WV 25701-2200
(304) 523-9673
(304) 523-9674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/28/2018
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