Wendy Pruett Young, MS, LPC, AADC | |
209 W Maple Ave, Fayetteville, WV 25840-1413 | |
(304) 574-2100 | |
Not Available |
Full Name | Wendy Pruett Young |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 209 W Maple Ave, Fayetteville, 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 |
---|---|---|---|
1962912410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15-313 (West Virginia) | Secondary |
101YP2500X | Counselor - Professional | 2173 (West Virginia) | Primary |
Entity Name | Gr&w Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
Mailing Address | Practice Location Address |
---|---|
Wendy Pruett Young, MS, LPC, AADC 1295 Laurel Creek Rd, Fayetteville, WV 25840-5811 Ph: (304) 663-3715 | Wendy Pruett Young, MS, LPC, AADC 209 W Maple Ave, Fayetteville, WV 25840-1413 Ph: (304) 574-2100 |
Mikaela Lynn Adkins, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2100 | |
Mrs. Julie M Preast, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2100 | |
Heather Rayan Pack, LPC, ALPS, NCC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1718 Wonderland Rd, Fayetteville, WV 25840 Phone: 304-543-8289 | |
Kristi Mccomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 351 New River Ranch Dr, Fayetteville, WV 25840 Phone: 304-574-1058 | |
Chassity Murphy-young, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 Hresan Blvd, Fayetteville, WV 25840 Phone: 304-254-9261 | |
Tamara Arwen Banks, MA, EDS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Lincoln St, Fayetteville, WV 25840 Phone: 304-574-3305 |