| Moksha Living | |
|
14 E Grafton Rd Ste A Fairmont WV 26554-4465 | |
| (681) 214-0025 | |
| Not Available |
| Full Name | Moksha Living |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 E Grafton Rd Ste A, Fairmont, West Virginia |
| Authorized Official Name and Position | Darice Renee Yerkovich (OWNER) |
| Authorized Official Contact | 6812140025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moksha Living 14 E Grafton Rd Ste A Fairmont WV 26554-4465 Ph: (681) 214-0025 | Moksha Living 14 E Grafton Rd Ste A Fairmont WV 26554-4465 Ph: (681) 214-0025 |
| NPI Number | 1215709019 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215709019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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