Jettie Ann Malcomb
Jettie Ann Malcomb is an Addiction (Substance Use Disorder) Counselor in Morgantown, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
53 Don Knotts BlvdMorgantown, WV 26508-6838
Phone: (304) 284-0025
Fax: (304) 284-0031
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1588254775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2021 |
| Last updated in NPPES | January 21, 2021 |
| Certification date | January 21, 2021 |
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