| Continuous Journey | |
|
179 E Burr Blvd Ste F Kearneysville WV 25430-4964 | |
| (304) 283-0022 | |
| (304) 521-6078 |
| Full Name | Continuous Journey |
|---|---|
| Speciality | Psychologist |
| Location | 179 E Burr Blvd Ste F, Kearneysville, West Virginia |
| Authorized Official Name and Position | Jyotsna Milbourne (OWNER) |
| Authorized Official Contact | 3042830022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuous Journey 179 E Burr Blvd Ste F Kearneysville WV 25430-4964 Ph: (304) 283-0022 | Continuous Journey 179 E Burr Blvd Ste F Kearneysville WV 25430-4964 Ph: (304) 283-0022 |
| NPI Number | 1316579493 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 0143646174 |
|---|---|
| Medicare Enrollment ID | O20200820001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316579493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jyostna Milbourne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326237314 PECOS PAC ID: 5698862183 Enrollment ID: I20071031000113 |
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