Doctor Name: | NANCY GRACE MOUL |
NPI Number: | 1902965379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRC |
License Number: | 00012898 |
Business Practice Address: | 307 N Main St New Martinsville, WV - 261551215 |
Business Phone Number: | 3044553622 |
Business Fax Number: | 3042343511 |
Mailing Address: | 103 Laurel Pl, NEW MARTINSVILLE |
State: | WV |
Postal Code: | 261559418 |
Phone Number: | 3044553101 |
Fax Number: | 3042343511 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00012898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |