NPI 1023094729

Debra Russell Mooney, CFNP

Practitioner Addiction Psychiatry Physician Charleston, WV

Practice location

Address: 103 Pennsylvania Ave, Charleston, WV 25302-2314
Phone: (304) 756-5715
Mailing address: 60 Summit Ridge Rd, Hurricane, WV 25526-8847

Registered specialties

Addiction Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0802X Licence 26602 (WV)

Other Psychiatry & Neurology providers in West Virginia →

Registry record

NPI: 1023094729
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2005
Record last updated: 21 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.