Deluca Family Wellness Center, Inc. | |
Rt. 2 Box 406 Suite 121 Clarksburg WV 26301 | |
(304) 626-3541 | |
(304) 626-3174 |
Full Name | Deluca Family Wellness Center, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | Rt. 2 Box 406 Suite 121, Clarksburg, West Virginia |
Authorized Official Name and Position | Matthew Joseph Deluca (MANAGING MEMBER) |
Authorized Official Contact | 3046263541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deluca Family Wellness Center, Inc. Rt. 2 Box 406 Suite 121 Clarksburg WV 26301 Ph: (304) 626-3541 | Deluca Family Wellness Center, Inc. Rt. 2 Box 406 Suite 121 Clarksburg WV 26301 Ph: (304) 626-3541 |
NPI Number | 1174729990 |
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Provider Enumeration Date | 06/27/2007 |
Last Update Date | 01/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174729990 | NPI | - | NPPES |
1540 | Other | WV | WV LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1540 (West Virginia) | Primary |
News Archive
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