Organization
THE CLINICAL RELIEF INSTITUTE
Active
Other names
Webtherapy
Organization subpart
No
Provider details
NPI number
Authorized official
JAY ANTHONY HALL (MEMBER)
(502) 510-3630
Entity
Organization
Contact information
Practice address
104 W FLAGET ST, BARDSTOWN, KY 40004-1423
(502) 510-3630
Mailing address
104 W FLAGET ST, BARDSTOWN, KY 40004-1423
(502) 510-3630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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