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1017 6th Ave Huntington WV 25701-2348 | |
| (681) 378-2134 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1017 6th Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Jennifer A Regan (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6813782134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1017 6th Ave Ste 11 Huntington WV 25701-2348 Ph: (681) 378-2134 | 1017 6th Ave Huntington WV 25701-2348 Ph: (681) 378-2134 |
| NPI Number | 1952889305 |
|---|---|
| Provider Enumeration Date | 07/29/2018 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952889305 | NPI | - | NPPES |
| 1568808137 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | DP00945023 (West Virginia) | Primary |
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