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NPI Code Detail

MEDICARE: ASHLEE RUNYON M.ED.

MEDICARE: ASHLEE RUNYON M.ED.
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
1101YP2500XProfessional Counselor208WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659779502
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE RUNYON M.ED.
Provider Business Mailing Address
First Line : 313 HUDGINS ST
Second Line :
City : LOGAN
State : WV
Zip : 25601-3535
Country : US
Telephone Number : 304-752-7830
Fax Number :
Provider Business Practice Location Address
First Line : 313 HUDGINS ST
Second Line :
City : LOGAN
State : WV
Zip : 25601-3535
Country : US
Telephone Number : 304-752-7830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2014
Last Update Date : 12/09/2014

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Directions to “ ASHLEE RUNYON M.ED.” Practice Location

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