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NPI Code Detail

MEDICARE: LEAH CHIDESTER MA, PLPC

MEDICARE: LEAH CHIDESTER MA, PLPC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1871329458
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH CHIDESTER MA, PLPC
Provider Business Mailing Address
First Line : 37 W MAIN ST
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-2235
Country : US
Telephone Number : 304-473-5634
Fax Number :
Provider Business Practice Location Address
First Line : 65 PROFESSIONAL PL
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-0258
Country : US
Telephone Number : 304-848-5770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2024
Last Update Date : 04/08/2026

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Directions to “ LEAH CHIDESTER MA, PLPC” Practice Location

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