Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | WVLPC985 | WV |
NPI | 1003125725 |
---|---|
Provider Name | Mr. Thomas Harry Willhoit |
First Address | Philippi, WV 26416 |
Second Address | Philippi, WV 26416-1262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2010 |
Last Update Date | 29/09/2010 |