Provider Demographics
NPI:1831728260
Name:KANTOR-BRIGHT, ELIZABETH S (MS, LPC, ALPS, NCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:KANTOR-BRIGHT
Suffix:
Gender:F
Credentials:MS, LPC, ALPS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W KING ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-3202
Mailing Address - Country:US
Mailing Address - Phone:304-283-5815
Mailing Address - Fax:
Practice Address - Street 1:312 W KING ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3202
Practice Address - Country:US
Practice Address - Phone:304-283-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional