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General NPI Number Information
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NPI Number | 1366535478
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Entity Type | Individual
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Provider Name | SUSAN L COYER LSW, CCAC,NAADAC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1420 WASHINGTON AVE
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City | HUNTINGTON
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State | WV
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Zip | 25704-1519
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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Provider Business Mailing Address
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Address Line | 3375 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-2837
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 93-300S
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | AP00940480
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License Number State | WV
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