Individual provider · Type 1 NPI

Kevin Talerico, MA

Addiction (Substance Use Disorder) Counselor · Clarksburg, WV

NPI number 1639903115 Active

Practice location

706 Oak Mound Rd
Clarksburg, WV 26301

Call (304) 969-5072 Map

Mailing address

1107 East Main Street
Clarksburg, WV 26301

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639903115

Kevin Talerico, MA's National Provider Identifier is 1639903115, issued on Aug 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clarksburg, WV. The record was last updated on Aug 28, 2024.