| Psychological Counseling Therapies,pllc | |
|
118 W Burke St Martinsburg WV 25401-3302 | |
| (304) 676-2808 | |
| Not Available |
| Full Name | Psychological Counseling Therapies,pllc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 118 W Burke St, Martinsburg, West Virginia |
| Authorized Official Name and Position | Michael A Gray (PSYCHOLOGIST) |
| Authorized Official Contact | 3046762808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Counseling Therapies,pllc 118 W Burke St Martinsburg WV 25401-3302 Ph: (304) 676-2808 | Psychological Counseling Therapies,pllc 118 W Burke St Martinsburg WV 25401-3302 Ph: (304) 676-2808 |
| NPI Number | 1043684699 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043684699 | NPI | - | NPPES |
| 3910006710 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | WV1107 (West Virginia) | Primary |
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