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Individual

MARY KEFFERSTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
322 KENMORE ST, MORGANTOWN, WV 26505-3218
(304) 290-7042
Mailing address
322 KENMORE ST, MORGANTOWN, WV 26505-3218
(304) 290-7042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2943
WV
101YP2500X
Professional Counselor
Primary
2943
WV

Other

Enumeration date
02/17/2025
Last updated
03/12/2026
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