Doctor Name: | SARA L MEADOWS |
NPI Number: | 1316030513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW, CCAC |
License Number: | 02341 |
Business Practice Address: | 1020 Grosscup Ave Dunbar, WV - 250643128 |
Business Phone Number: | 3045257851 |
Business Fax Number: | 3045251073 |
Mailing Address: | 3375 Us Route 60, HUNTINGTON |
State: | WV |
Postal Code: | 257052837 |
Phone Number: | 3045257851 |
Fax Number: | 3045251073 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 02341 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |