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NPI Profile for PURSUECARE WEST VIRGINIA PLLC in MORGANTOWN, WV.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Acute Care |
364SA2100X | 89 | Certified Clinical Nurse Specialist | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Adult Mental Health |
261QM0850X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Medical |
363AM0700X | 97 | Physician Assistant | |
Professional |
101YP2500X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Social Worker |
104100000X |
| NPI # | 1255064135 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/07/2022 | |
| Last updated | 07/18/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PURSUECARE WEST VIRGINIA PLLC