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Organization
GLENCAIRN MARRIAGE & FAMILY THERAPY CENTER, INC.
Active
Organization
GLENCAIRN MARRIAGE & FAMILY THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN GREY SMITH PHD (CEO)
(859) 263-4687
Entity
Organization
Contact information
Practice address
501 DARBY CREEK RD, SUITE 67, LEXINGTON, KY 40509-1604
(859) 263-4687
(859) 264-1760
Mailing address
501 DARBY CREEK RD, SUITE 67, LEXINGTON, KY 40509-1604
(859) 263-4687
(859) 264-1760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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