Individual provider · Type 1 NPI
Jeffry D. Levesque, MSW, LICSW
Mental Health Counselor · Charles Town, WV
NPI number
1023484516
Active
Practice location
510 S Seminary St
Charles Town, WV 25414-1347
Mailing address
510 S. Seminary St.
Charles Town, WV 25414-1347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | DP00941308 (WV) |
| Mental Health Counselor | 101YM0800X | 02517 (MD) |
| Mental Health Counselor | 101YM0800X | 0904006979 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1023484516
Jeffry D. Levesque, MSW, LICSW's National Provider Identifier is 1023484516, issued on Aug 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charles Town, WV. The record was last updated on Aug 19, 2015.