| Mineral County Community Corrections | |
|
130 N Main St Keyser WV 26726-3242 | |
| (304) 788-0593 | |
| Not Available |
| Full Name | Mineral County Community Corrections |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 130 N Main St, Keyser, West Virginia |
| Authorized Official Name and Position | Tara Hockaday (DIRECTOR) |
| Authorized Official Contact | 3047880593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral County Community Corrections Po Box 692 Keyser WV 26726-0692 Ph: (304) 788-0593 | Mineral County Community Corrections 130 N Main St Keyser WV 26726-3242 Ph: (304) 788-0593 |
| NPI Number | 1134882988 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134882988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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