| Raleigh County Commission On Aging, Inc. | |
|
1614 S Kanawha St Beckley WV 25801-6239 | |
| (304) 255-1397 | |
| (304) 252-9360 |
| Full Name | Raleigh County Commission On Aging, Inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1614 S Kanawha St, Beckley, West Virginia |
| Authorized Official Name and Position | Jack Tanner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3042551397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh County Commission On Aging, Inc. 1614 S Kanawha St Beckley WV 25801-6239 Ph: (304) 255-1397 | Raleigh County Commission On Aging, Inc. 1614 S Kanawha St Beckley WV 25801-6239 Ph: (304) 255-1397 |
| NPI Number | 1376809186 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376809186 | NPI | - | NPPES |
| 1619185147 | Medicaid | WV | |
| 3810022491 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (West Virginia) | Primary |
| 3747A0650X | Technician - Attendant Care Provider | (West Virginia) | Secondary |
News Archive
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› Verified 6 days ago
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