Raleigh County Commission On Aging, Inc.

NPI #1376809186 in Beckley, West Virginia

Provider Information

NPI Number: 1376809186
Entity Type: Organization
Organization Name: Raleigh County Commission On Aging, Inc.
Primary Specialty: Psychologist - Counseling
Enumeration Date: Apr 5, 2012
Last Updated: Apr 5, 2012

Practice Location

Address: 1614 S KANAWHA ST
City: Beckley
State: West Virginia
ZIP Code: 25801-6239
Phone: (304) 255-1397

Authorized Official

Name: MR. JACK TANNER
Title: EXECUTIVE DIRECTOR
Phone: (304) 255-1397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Psychologist - Counseling — Counseling	103TC1900X	Primary

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