Dettinger, Wanda Mae
Dettinger, Wanda Mae is an individual health care provider with primary practice located at 1418 A Maccorkle Ave Sw , Charleston WV 25303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Dettinger, Wanda Mae can be contacted via phone (304) 348-1288.Contact Information
Primary practice address
1418 A Maccorkle Ave Sw
Charleston WV 25303
Phone: (304) 348-1288
Fax: (304) 348-1262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1564 | West Virginia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | AP00938675 | West Virginia |
Profile Details
| NPI number | 1639196124 |
|---|---|
| LBN Legal business name | Dettinger, Wanda Mae |
| Credentials | LPC LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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