Individual
WENDY PRUETT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, AADC
Contact information
Practice address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2100
Mailing address
1295 LAUREL CREEK RD, FAYETTEVILLE, WV 25840-5811
(304) 663-3715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-313
WV
101YP2500X
Professional Counselor
Primary
2173
WV
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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