Individual provider · Type 1 NPI
Judith Elizabeth Conrad, MA LPC
Professional Counselor · South Charleston, WV
NPI number
1003971334
Active
Practice location
Box 405L, Route 8
South Charleston, WV 25309
Fax (304) 744-6677
Mailing address
PO Box 58275
Charleston, WV 25358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 887 (WV) |
Professional Counselor: Definition to come...
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About NPI 1003971334
Judith Elizabeth Conrad, MA LPC's National Provider Identifier is 1003971334, issued on Dec 27, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Charleston, WV. The record was last updated on Jul 8, 2007.