| Willow Path Counseling, Llc | |
|
4100 Central Ave Shadyside OH 43947-1210 | |
| (304) 280-9798 | |
| Not Available |
| Full Name | Willow Path Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4100 Central Ave, Shadyside, Ohio |
| Authorized Official Name and Position | Jamie Lynn Roberts (OWNER) |
| Authorized Official Contact | 3042809798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Path Counseling, Llc 4100 Central Ave Shadyside OH 43947-1210 Ph: () - | Willow Path Counseling, Llc 4100 Central Ave Shadyside OH 43947-1210 Ph: (304) 280-9798 |
| NPI Number | 1720320591 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720320591 | NPI | - | NPPES |
| 1497907208 | Other | WV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E3870 (Ohio) | Primary |
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