| Courageous Journey, Pllc | |
|
1664 Winchester Ave Ste B Martinsburg WV 25405-3881 | |
| (304) 901-4347 | |
| (888) 596-2658 |
| Full Name | Courageous Journey, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1664 Winchester Ave, Martinsburg, West Virginia |
| Authorized Official Name and Position | Monica R Cogle (OWNER/OPERATOR) |
| Authorized Official Contact | 3049014347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Journey, Pllc 1664 Winchester Ave Ste B Martinsburg WV 25405-3881 Ph: (304) 901-4347 | Courageous Journey, Pllc 1664 Winchester Ave Ste B Martinsburg WV 25405-3881 Ph: (304) 901-4347 |
| NPI Number | 1003250408 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003250408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00939896 (West Virginia) | Primary |
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