| Tlc Collaborative Counseling | |
|
118 Adams St Suite 203 Fairmont WV 26554-2841 | |
| (681) 404-6094 | |
| (681) 404-6494 |
| Full Name | Tlc Collaborative Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 118 Adams St, Fairmont, West Virginia |
| Authorized Official Name and Position | Terry Lynn Chapman (SINGLE PROVIDER LLC) |
| Authorized Official Contact | 6814046094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Collaborative Counseling 118 Adams St Suite 203 Fairmont WV 26554-2841 Ph: (681) 404-6094 | Tlc Collaborative Counseling 118 Adams St Suite 203 Fairmont WV 26554-2841 Ph: (681) 404-6094 |
| NPI Number | 1598122285 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598122285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00943687 (West Virginia) | Primary |
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