Doctor Name: | GEORGE E CANTEES |
NPI Number: | 1154446979 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, CAC |
License Number: | 612 |
Business Practice Address: | 1020 Grosscup Ave Dunbar, WV - 250643128 |
Business Phone Number: | 3045257851 |
Business Fax Number: | 3046971286 |
Mailing Address: | 711 Westmoreland Dr, CHARLESTON |
State: | WV |
Postal Code: | 253024044 |
Phone Number: | 3043421854 |
Fax Number: | 3046971286 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |