| Evergreen Counseling And Yoga Therapy | |
|
505 28th St Vienna WV 26105-1451 | |
| (304) 295-4484 | |
| Not Available |
| Full Name | Evergreen Counseling And Yoga Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 505 28th St, Vienna, West Virginia |
| Authorized Official Name and Position | Nicole Martin (OWNER) |
| Authorized Official Contact | 3042954484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling And Yoga Therapy 505 28th St Vienna WV 26105-1451 Ph: (304) 295-4484 | Evergreen Counseling And Yoga Therapy 505 28th St Vienna WV 26105-1451 Ph: (304) 295-4484 |
| NPI Number | 1033814058 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033814058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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