| Dreama Short Counseling Services | |
|
552 Cherry Creek Cir Shady Spring WV 25918-8723 | |
| (304) 763-7088 | |
| Not Available |
| Full Name | Dreama Short Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 552 Cherry Creek Cir, Shady Spring, West Virginia |
| Authorized Official Name and Position | Dreama Short (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3047637088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dreama Short Counseling Services 552 Cherry Creek Cir Shady Spring WV 25918-8723 Ph: () - | Dreama Short Counseling Services 552 Cherry Creek Cir Shady Spring WV 25918-8723 Ph: (304) 763-7088 |
| NPI Number | 1104165216 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104165216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1054 (West Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | 1361 (West Virginia) | Primary |