Healthcare Provider Details

I. General information

NPI: 1053235721
Provider Name (Legal Business Name): KISSINGER COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3366 MAIN ST
WEIRTON WV
26062-4704
US

IV. Provider business mailing address

104 AVALON ESTS
STEUBENVILLE OH
43953-3777
US

V. Phone/Fax

Practice location:
  • Phone: 740-275-8202
  • Fax:
Mailing address:
  • Phone: 740-275-8202
  • 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: DONALD KISSINGER
Title or Position: OWNER
Credential: PHD
Phone: 740-275-8202