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Organization
HERITAGE COUNSELING AND CONSULTATION CENTER, LLC
Active
Organization
HERITAGE COUNSELING AND CONSULTATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE HICKERSON LCSW (CLINICAL DIRECTOR)
(270) 996-5877
Entity
Organization
Contact information
Practice address
611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
(270) 996-5877
Mailing address
611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
(270) 996-5877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3394
KY
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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