| James Logan Shadowfax Frame, LPC, NCC | |
|
376 Kenmore Dr, Danville, WV 25053-7083 | |
| (304) 525-7851 | |
| (304) 525-1073 |
| Full Name | James Logan Shadowfax Frame |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 376 Kenmore Dr, Danville, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770268427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2596 (West Virginia) | Primary |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871141366 PECOS PAC ID: 3375433352 Enrollment ID: O20201102001732 |
| Mailing Address | Practice Location Address |
|---|---|
| James Logan Shadowfax Frame, LPC, NCC 99 Cracker Barrel Dr Ste 100, Barboursville, WV 25504-1650 Ph: (304) 525-7851 | James Logan Shadowfax Frame, LPC, NCC 376 Kenmore Dr, Danville, WV 25053-7083 Ph: (304) 525-7851 |
Victoria Lynn Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Rosedale Ter, Danville, WV 25053 Phone: 304-688-7220 | |
Janice M Parker, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 376 Kenmore Dr, Danville, WV 25053 Phone: 304-525-7851 Fax: 304-525-1073 | |
Mr. Joseph Michael Mounts, M.ED., AADC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 376 Kenmore Dr, Danville, WV 25053 Phone: 304-525-7851 |