Individual
HEIDI OTOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
235 HIGH STREET, SUITE 720, MORGANTOWN, WV 26505
(304) 413-0426
(304) 413-0427
Mailing address
235 HIGH STREET, SUITE 720, MORGANTOWN, WV 26505-5415
(304) 413-0426
(304) 413-0427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2260
WV
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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