Provider Demographics
NPI:1851456503
Name:TORSNEY, JACK RUSSELL JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:JACK
Middle Name:RUSSELL
Last Name:TORSNEY
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:536 MONONGALIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-5727
Mailing Address - Country:US
Mailing Address - Phone:304-290-8983
Mailing Address - Fax:304-296-4299
Practice Address - Street 1:293 WILLEY ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5530
Practice Address - Country:US
Practice Address - Phone:304-290-8983
Practice Address - Fax:304-296-4299
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional