PROGRESSIVE PREVENTIVE HEALTH CARE, INC
Mental Health at Main St, Lake Ridge, WV

License number
West Virginia CP 00453683
Category
Mental Health
Type
Mental Health
Owner
Name: MS. NANCY ANN RUSH MA,LCSW,LPC
Title: OWNER/OPERATOR
Phone: (304) 842-8852
Address
Address
243 W Main St, Lake Ridge, WV 26330
National Provider ID: 1659351534
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROGRESSIVE PREVENTIVE HEALTH CARE, INC

Lake Ridge, WV

Industry:
Health Care and Social Assistance, Social Assistance, Individual and Family Services, ...
Registration:
Apr 11, 1997
Phone:
(304) 842-8852 (Phone)
Addresses:
PO Box 880, Bridgeport, WV 26330 (Mailing)
243 W Main St, Bridgeport, WV 26330 (Physical)
Business type:
Corporation
Vice-Presidents:
Nancy A. Rush (Incorporator), 351 E Main St, Bridgeport, WV 26330,Nancy Rush (President, Owner, Psychologist, Social Worker), 243 W Main St, Bridgeport, WV 26330,John Robert Rush (Secretary), 243 W Main St, Bridgeport, WV 26330,...

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