Provider Demographics
NPI:1770268427
Name:FRAME, JAMES LOGAN SHADOWFAX (LPC, NCC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LOGAN SHADOWFAX
Last Name:FRAME
Suffix:
Gender:M
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 1:467 MAIN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-2200
Mailing Address - Country:US
Mailing Address - Phone:304-784-5583
Mailing Address - Fax:
Practice Address - Street 1:467 MAIN ST FL 3
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-2200
Practice Address - Country:US
Practice Address - Phone:304-369-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2596101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health