Lea Marie Larch, LPC, NCC, AADC, ALPS | |
4701 Maccorkle Ave Se, Charleston, WV 25304-1950 | |
(304) 756-5804 | |
Not Available |
Full Name | Lea Marie Larch |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4701 Maccorkle Ave Se, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811603160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (West Virginia) | Secondary |
101YP2500X | Counselor - Professional | 2551 (West Virginia) | Primary |
Entity Name | Portland Dbt Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073853966 PECOS PAC ID: 7911141742 Enrollment ID: O20130918000361 |
Mailing Address | Practice Location Address |
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Lea Marie Larch, LPC, NCC, AADC, ALPS 4701 Maccorkle Ave Se, Charleston, WV 25304-1950 Ph: (304) 756-5804 | Lea Marie Larch, LPC, NCC, AADC, ALPS 4701 Maccorkle Ave Se, Charleston, WV 25304-1950 Ph: (304) 756-5804 |
Jatue Richardson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
James M Jackson, COUNSELOR 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
Jill Leean Woodrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 | |
Denise Briscoe, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 | |
Hope Hartz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1632 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-8515 | |
Ethel Austin, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-245-9753 Fax: 304-344-3503 | |
Khadija Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 |