Mary Kefferstan
Counselor, Professional in Morgantown, WV. Individual provider (NPI-1).
NPI number1972308591
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1972308591
- Entity type
- Individual (NPI-1)
- Name
- Mary Kefferstan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2025
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2943 | WV | Yes |
Practice location
322 Kenmore StMorgantown, WV 26505-3218
Phone 304-290-7042
Mailing address
322 Kenmore StMorgantown, WV 26505-3218
Phone 304-290-7042
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