| Stillwater Christian Counseling Pllc | |
|
130 S Price St Suite 204 Kingwood WV 26537-1462 | |
| (304) 329-1900 | |
| (304) 329-1050 |
| Full Name | Stillwater Christian Counseling Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 130 S Price St, Kingwood, West Virginia |
| Authorized Official Name and Position | Alfred Ludwig Kasprowicz (MANAGER SOLE PRACTITIONER) |
| Authorized Official Contact | 3043291900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Christian Counseling Pllc 130 S Price St Suite 204 Kingwood WV 26537-1462 Ph: (304) 329-1900 | Stillwater Christian Counseling Pllc 130 S Price St Suite 204 Kingwood WV 26537-1462 Ph: (304) 329-1900 |
| NPI Number | 1336215268 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336215268 | NPI | - | NPPES |
| 0164483000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Sharon G Mcmillen M A Psycholotist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E High St, Kingwood, WV 26537 Phone: 304-329-2300 Fax: 304-329-2551 |