# A CENTER 4 CHANGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013450212
- **Authorized official:** TONYA JUDD D.O. (OWNER)
- **Authorized official phone:** (606) 393-5586

## Contact information

- **Practice address:** 5900 US HIGHWAY 60 WEST, SUITE B, ASHLAND, KY 41102
- **Practice address phone:** (606) 393-5586
- **Mailing address:** 5900 US HIGHWAY 60 WEST, SUITE B, ASHLAND, KY 41102
- **Mailing address phone:** (606) 393-5586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 171064 | KY | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 11/21/2016