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Organization
BLUEGRASS COUNSELING & TRAUMA SERVICES
Active
Organization
BLUEGRASS COUNSELING & TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL STAPLETON (CONTRACTING DIRECTOR)
(270) 380-1093
Entity
Organization
Contact information
Practice address
503 DARBY CREEK RD STE C, LEXINGTON, KY 40509-1603
(859) 368-2567
(859) 788-3905
Mailing address
503 DARBY CREEK RD STE C, LEXINGTON, KY 40509-1603
(859) 368-2567
(859) 788-3905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
04/09/2024
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