Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 11-105 | WV |
N | 101YP1600X | Pastoral Counselor | ||
Y | 1041C0700X | Clinical Social Worker | DP00944084 | WV |
NPI | 1013259068 |
---|---|
Provider Name | Jamie Downs |
First Address | Morgantown, WV 26505-3198 |
Second Address | Morgantown, WV 26505-3198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2013 |
Last Update Date | 16/10/2014 |