Individual provider · Type 1 NPI
Gail Arlene Shade, LPC
Professional Counselor · Berkeley Springs, WV
NPI number
1912084385
Active
Practice location
640 Fairfax St, Suite #3
Berkeley Springs, WV 25411-1622
Fax (304) 258-9313
Mailing address
PO Box 903
Berkeley Springs, WV 25411-0903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1001 (WV) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Berkeley Springs
About NPI 1912084385
Gail Arlene Shade, LPC's National Provider Identifier is 1912084385, issued on Nov 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berkeley Springs, WV. The record was last updated on Jul 8, 2007.