# CCC OF WESTERN KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christian Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346756459
- **Authorized official:** ROGER THOMPSON MS, LMFT (DIRECTOR)
- **Authorized official phone:** (270) 442-5738

## Contact information

- **Practice address:** 2820 JEFFERSON ST, PADUCAH, KY 42001-4170
- **Practice address phone:** (270) 442-5738
- **Practice address fax:** (270) 442-3172
- **Mailing address:** PO BOX 8211, PADUCAH, KY 42002-8211
- **Mailing address phone:** (270) 442-5738
- **Mailing address fax:** (270) 442-3172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 105399 | KY | Yes |
| 101YM0800X | Mental Health Counselor | 105699 | KY | — |
| 101YP2500X | Professional Counselor | 104561 | KY | — |

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 12/27/2017