Phoenix Psychological & Counseling Assoc Inc

NPI 1386631786 - Psychologist - 103T00000X

NPI Details
NPI 1386631786
Enumeration Date 09/30/2005
Last Updated 01/12/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHARLES MCCLURE CHARLES
Position OWNER
Phone (304) 622-6404
Fax (304) 622-6404
Practice Location
RT 20
QUIET DELL WV, 26408, US
Phone (304) 622-6404
Fax (304) 622-6404
Business Location
4579 BUCKHANNON PIKE STE 101
MOUNT CLARE WV, 26408-7176, US
Phone (304) 622-6404
Fax (304) 622-6404
Toxanomy
Taxonomy Code 103T00000X
License State West Virginia
License Number =========
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According to our database, Phoenix Psychological & Counseling Assoc Inc NPI is 1386631786, taxonomy code is 103T00000X and license number is =========, license state is located at West Virginia. Phoenix Psychological & Counseling Assoc Inc physically located at Rt 20, Quiet Dell WV, 26408. NPI Number 1033115704 has the healthcare provider type.

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1386631786 NPI number is provided on an as is basis without warranty of any kind. 1386631786 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Psychological & Counseling Assoc Inc are for informational purposes only.