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Madison Leigh Crickard, PROVLICCOUNSELOR
Counselor in Clarksburg, West Virginia
NPI 1548917453

Madison Leigh Crickard is a Counselor based in Clarksburg, WV. Madison Leigh Crickard practices in Clarksburg, WV and has the professional credentials of PROVLICCOUNSELOR. The NPI Number for Madison Leigh Crickard is 1548917453 and holds a License No. (West Virginia).

The current practice location address for Madison Leigh Crickard is 706 Oakmound Rd, Clarksburg, WV and can be reached out via phone at 304-622-7511.

Location: 706 Oakmound Rd, Clarksburg, WV, 26301-9398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548917453
Provider Name
Madison Leigh Crickard
Credential
PROVLICCOUNSELOR
Provider Entity Type
Individual
Gender
Female
Address
706 Oakmound Rd, Clarksburg, WV, 26301-9398
Phone Number
304-622-7511
Fax Number
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
706 Oakmound Rd
City
Clarksburg
State
West Virginia
Zip
26301-9398
Phone Number
304-622-7511
Fax Number
person
Provider Business Mailing Address Details
Address
706 Oakmound Rd
City
Clarksburg
State
West Virginia
Zip
26301-9398
Phone Number
304-622-7511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
773 (West Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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