Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | WV |
NPI | 1003031220 |
---|---|
Provider Name | Katherine Belcher |
First Address | Matewan, WV 25678-0657 |
Second Address | Williamson, WV 25661-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 08/07/2007 |