Healthcare Provider Details

I. General information

NPI: 1891473641
Provider Name (Legal Business Name): LEAH ALDERMAN MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 FAIRMONT AVE
FAIRMONT WV
26554-2710
US

IV. Provider business mailing address

821 E PARK AVE
FAIRMONT WV
26554-4116
US

V. Phone/Fax

Practice location:
  • Phone: 681-404-6869
  • Fax:
Mailing address:
  • Phone: 713-553-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: