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709 3rd Ave Huntington WV 25701-1421 | |
| (304) 633-7751 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 709 3rd Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Candace D Layne (DIRECTOR) |
| Authorized Official Contact | 3045442417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
709 3rd Ave Huntington WV 25701-1421 Ph: (304) 544-2417 | 709 3rd Ave Huntington WV 25701-1421 Ph: (304) 633-7751 |
| NPI Number | 1508520966 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508520966 | NPI | - | NPPES |
| 1124273065 | Other | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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