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Organization
CCC OF WESTERN KENTUCKY
Active
Organization
CCC OF WESTERN KENTUCKY
Active
Other names
Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER THOMPSON MS, LMFT (DIRECTOR)
(270) 442-5738
Entity
Organization
Contact information
Practice address
2820 JEFFERSON ST, PADUCAH, KY 42001-4170
(270) 442-5738
(270) 442-3172
Mailing address
PO BOX 8211, PADUCAH, KY 42002-8211
(270) 442-5738
(270) 442-3172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105399
KY
101YM0800X
Mental Health Counselor
105699
KY
101YP2500X
Professional Counselor
104561
KY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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