Provider Demographics
NPI:1114538766
Name:VEACH, RUTH ANN (LPC NCC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:VEACH
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-4039
Mailing Address - Country:US
Mailing Address - Phone:304-676-2281
Mailing Address - Fax:
Practice Address - Street 1:318 W BURKE ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3324
Practice Address - Country:US
Practice Address - Phone:304-676-2281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional