Individual
TINA KAY HAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, COUNSELOR
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(681) 317-8284
Mailing address
34 ANTIETAM DR, MORGANTOWN, WV 26508-9005
(304) 685-6092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
WV
104100000X
Social Worker
Primary
SW082216328
WV
Other
Enumeration date
06/06/2024
Last updated
09/12/2024
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