Kevin Pegram
NPI #1851081962 in Beaver, West Virginia
Provider Information
- NPI Number
- 1851081962
- Entity Type
- Individual
- Name
- Kevin Pegram
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 11, 2023
- Last Updated
- May 11, 2023
Practice Location
- Address
- 175 PHILPOTT LN
- City
- Beaver
- State
- West Virginia
- ZIP Code
- 25813-9501
- Phone
- (304) 254-9262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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