Ccc Of Western Kentucky
Counselor, Mental Health in Paducah, KY. Organization (NPI-2).
NPI number1346756459
StatusActive
Last updated in NPPESDec 27, 2017
Details
- NPI
- 1346756459
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccc Of Western Kentucky
- Organization subpart
- No
- Enumeration date
- Dec 27, 2017
- Last updated
- Dec 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 105399 | KY | Yes |
| 101YM0800X | Counselor, Mental Health | 105699 | KY | |
| 101YP2500X | Counselor, Professional | 104561 | KY |
Other names
- Christian Counseling Center (Doing Business As)
Practice location
2820 Jefferson StPaducah, KY 42001-4170
Phone 270-442-5738 · Fax 270-442-3172
Mailing address
Po Box 8211Paducah, KY 42002-8211
Phone 270-442-5738 · Fax 270-442-3172
Authorized official
Roger Thompson
Director
2704425738
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