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NPI Profile for KATHERINE W HEATHERLY in MILL CREEK, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1619529534 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 07/11/2019 | |
| Last updated | 07/11/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KATHERINE W HEATHERLY
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KATHERINE W HEATHERLY, LPC