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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