Phoenix Psychological & Counseling Assoc INC
NPI #1386631786 in Quiet Dell, West Virginia
Provider Information
- NPI Number
- 1386631786
- Entity Type
- Organization
- Organization Name
- Phoenix Psychological & Counseling Assoc INC
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- RT 20
- City
- Quiet Dell
- State
- West Virginia
- ZIP Code
- 26408
- Phone
- (304) 622-6404
Authorized Official
- Name
- MR. CHARLES MCCLURE GREEN
- Title
- OWNER
- Phone
- (304) 622-6404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Social Worker - Clinical — Clinical |
| Counselor |
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