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Organization
COURAGE TO CHANGE CORP
Active
Organization
COURAGE TO CHANGE CORP
Active
Other names
CTC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T TIPTON MA, LPCC (OWNER/ PBSS)
(606) 224-8451
Entity
Organization
Contact information
Practice address
2785 N MAIN ST STE 101B, HAZARD, KY 41701-5910
(606) 224-8451
Mailing address
311 WALKER LN, LONDON, KY 40744-9036
(606) 224-8451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
Other
Enumeration date
08/16/2023
Last updated
08/17/2023
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