Catalyst Counseling, P.l.l.c. | |
618 Prospect Ave Fairmont WV 26554-2525 | |
(304) 669-3649 | |
Not Available |
Full Name | Catalyst Counseling, P.l.l.c. |
---|---|
Speciality | Social Worker |
Location | 618 Prospect Ave, Fairmont, West Virginia |
Authorized Official Name and Position | Danielle Marie Chefren (LICSW/OWNER) |
Authorized Official Contact | 3046693649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Catalyst Counseling, P.l.l.c. Po Box 572 Fairmont WV 26555-0572 Ph: (304) 669-3649 | Catalyst Counseling, P.l.l.c. 618 Prospect Ave Fairmont WV 26554-2525 Ph: (304) 669-3649 |
NPI Number | 1760148159 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/10/2021 |
Certification Date | 11/10/2021 |
Medicare PECOS PAC ID | 7911396551 |
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Medicare Enrollment ID | O20211119000889 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760148159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Danielle M Chefren |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437390762 PECOS PAC ID: 1850699661 Enrollment ID: I20160412000855 |
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