person
Lex De Gruyl, COUNSELORPSYCHOLO
School Counselor in Little Birch, West Virginia
NPI 1912067067

Lex De Gruyl is a School Counselor based in Little Birch, WV and is specialized in School. Lex De Gruyl practices in Little Birch, WV and has the professional credentials of COUNSELORPSYCHOLO. The NPI Number for Lex De Gruyl is 1912067067 and holds a License No. 21003 (West Virginia).

The current practice location address for Lex De Gruyl is 240 Windy Run Rd, Little Birch, WV and can be reached out via phone at 304-765-5919.

Location: 240 Windy Run Rd, Little Birch, WV, 26629-9502
person
Provider Profile Details
NPI Number
1912067067
Provider Name
Lex De Gruyl
Credential
COUNSELORPSYCHOLO
Provider Entity Type
Individual
Gender
Male
Address
240 Windy Run Rd, Little Birch, WV, 26629-9502
Phone Number
304-765-5919
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0164362000 05 WV
institution
Provider Business Practice Location Address Details
Address
240 Windy Run Rd
City
State
Zip
26629-9502
Phone Number
304-765-5919
Fax Number
person
Provider Business Mailing Address Details
Address
240 Windy Run Rd
City
State
Zip
26629-9502
Phone Number
304-765-5919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1124 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
21003 (West Virginia)
Definition
Definition to come...
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