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NPI Code Detail

MEDICARE: BE WELL COUNSELING SERVICES

MEDICARE: BE WELL COUNSELING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyWV

General Provider Information

NPI Number : 1093263642
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE WELL COUNSELING SERVICES
Provider Business Mailing Address
First Line : 126 E BURKE ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 126 E BURKE ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4302
Country : US
Telephone Number : 304-433-7212
Fax Number :
Authorized Official
Title or Position : OWNER, CLINICAL SOCIAL WORKER
Name : COLLEEN BOHLANDER KRADEL
Credential : LICSW
Telephone Number : 304-433-7212
Provider Enumeration Date : 09/12/2016
Last Update Date : 09/12/2016

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Directions to “BE WELL COUNSELING SERVICES ” Practice Location

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