| Crescent Counseling Group | |
|
206 Kanawha Blvd W Charleston WV 25302-2201 | |
| (304) 382-6699 | |
| Not Available |
| Full Name | Crescent Counseling Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 206 Kanawha Blvd W, Charleston, West Virginia |
| Authorized Official Name and Position | Eugenie Provosty Taylor (OWNER) |
| Authorized Official Contact | 3043826699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Counseling Group 206 Kanawha Blvd W Charleston WV 25302-2201 Ph: (304) 382-6699 | Crescent Counseling Group 206 Kanawha Blvd W Charleston WV 25302-2201 Ph: (304) 382-6699 |
| NPI Number | 1497327878 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497327878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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