Individual
MRS. ELIZABETH M EARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.MA.MSW
Contact information
Practice address
415 MORRIS ST, SUITE 306, CHARLESTON, WV 25301-1842
(303) 343-1022
(304) 343-1025
Mailing address
415 MORRIS ST, SUITE 306, CHARLESTON, WV 25301-1842
(303) 343-1022
(304) 343-1025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
453
WV
1041C0700X
Clinical Social Worker
CP00454023
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720450
BLUE CROSS/BLUE SHEILD
WV
Enumeration date
02/13/2007
Last updated
10/22/2008
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