Justice, Paulette Susan

Justice, Paulette Susan is an individual health care provider with primary practice located at 4825 Maccorkle Ave Sw , South Charleston WV 25309-1365. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Justice, Paulette Susan can be contacted via phone (304) 766-4572.

Contact Information

Primary practice address
4825 Maccorkle Ave Sw South Charleston WV 25309-1365
Phone: (304) 766-4572
Fax: (304) 766-4599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 194 West Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CP00453868 West Virginia

Profile Details

NPI number 1003987199
LBN Legal business name Justice, Paulette Susan
Credentials LPC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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