Doctor Name: | JANE ANN AMONS |
NPI Number: | 1003917352 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1685 |
Business Practice Address: | 2115 Jacob St Wheeling, WV - 260033800 |
Business Phone Number: | 3042348517 |
Business Fax Number: | 3042348745 |
Mailing Address: | 2115 Jacob St, WHEELING |
State: | WV |
Postal Code: | 260033800 |
Phone Number: | 3042348517 |
Fax Number: | 3042348745 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |