| NPI | 1245652072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE J. QUICK Lpcc 270-982-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1554) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-03-04 |