person
Melonie Diane Beavers
Professional Counselor in Charleston, West Virginia
NPI 1811521859

Melonie Diane Beavers is a Professional Counselor based in Jolo, WV and is specialized in Professional. Melonie Diane Beavers practices in Charleston, WV. The NPI Number for Melonie Diane Beavers is 1811521859 and holds a License No. 2479 (West Virginia).

The current practice location address for Melonie Diane Beavers is 5240 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-926-2300 and via fax at 304-926-2304. You can also correspond with Melonie Diane Beavers through the mailing address at PO BOX 116, JOLO, WV - 24850-0116 (mailing address contact number: 304-890-3005).

Location: 5240 Maccorkle Ave Se, Charleston, WV, 24850-0116
person
Provider Profile Details
NPI Number
1811521859
Provider Name
Melonie Diane Beavers
Credential
Provider Entity Type
Individual
Gender
Female
Address
5240 Maccorkle Ave Se, Charleston, WV, 24850-0116
Phone Number
304-926-2300
Fax Number
304-926-2304
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5240 Maccorkle Ave Se
City
State
Zip
25304-2122
Phone Number
304-926-2300
Fax Number
304-926-2304
person
Provider Business Mailing Address Details
Address
5240 Maccorkle Ave Se
City
State
Zip
25304-2122
Phone Number
304-926-2300
Fax Number
304-926-2304
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2479 (West Virginia)
Definition
Definition to come...
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