| Mountain Laurel Wellness Llc | |
|
235 High St Suite 407 Morgantown WV 26505-5429 | |
| (304) 282-7552 | |
| Not Available |
| Full Name | Mountain Laurel Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 235 High St, Morgantown, West Virginia |
| Authorized Official Name and Position | Jamie Elizabeth Jacobs (COUNSELOR) |
| Authorized Official Contact | 3042827552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Laurel Wellness Llc 235 High St Suite 407 Morgantown WV 26505-5429 Ph: (304) 282-7552 | Mountain Laurel Wellness Llc 235 High St Suite 407 Morgantown WV 26505-5429 Ph: (304) 282-7552 |
| NPI Number | 1407215320 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407215320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1978 (West Virginia) | Primary |
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