MEDICARE: NATHAN ALTMAN MA, LPC

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
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor	2953	WV

General Provider Information

NPI Number	:	1649969338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN ALTMAN MA, LPC

Provider Business Mailing Address
First Line	:	235 HIGH ST STE 816
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-5448
Country	:	US
Telephone Number	:	304-758-3552
Fax Number	:	304-999-4374

Provider Business Practice Location Address
First Line	:	235 HIGH ST STE 816
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-5448
Country	:	US
Telephone Number	:	304-758-3552
Fax Number	:	304-999-4374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	02/04/2026

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