institution
Sandra D. Street Ma, Lpc
Professional Counselor in Wheeling, West Virginia
NPI 1750592903

Sandra D. Street Ma, Lpc is a Professional Counselor based in Wheeling, WV and is specialized in Professional. Sandra D. Street Ma, Lpc practices in Wheeling, WV. The NPI Number for Sandra D. Street Ma, Lpc is 1750592903 and holds a License No. 10053 (West Virginia).

The current practice location address for Sandra D. Street Ma, Lpc is 40 12Th St, Wheeling, WV and can be reached out via phone at 304-242-2817 and via fax at 304-242-5161.

Location: 40 12Th St, Wheeling, WV, 26003-0736
institution
Provider Profile Details
NPI Number
1750592903
Provider Name
Sandra D. Street Ma, Lpc
Credential
Provider Entity Type
Organization
Address
40 12Th St, Wheeling, WV, 26003-0736
Phone Number
304-242-2817
Fax Number
304-242-5161
Provider Enumeration Date
05/26/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
40 12Th St
City
State
Zip
26003-3279
Phone Number
304-242-2817
Fax Number
304-242-5161
person
Provider Business Mailing Address Details
Address
40 12Th St
City
State
Zip
26003-3279
Phone Number
304-242-2817
Fax Number
304-242-5161
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1135 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10053 ()
Definition
Definition to come...
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