Organization
A CENTER 4 CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA JUDD D.O. (OWNER)
(606) 393-5586
Entity
Organization
Contact information
Practice address
5900 US HIGHWAY 60 WEST, SUITE B, ASHLAND, KY 41102
(606) 393-5586
Mailing address
5900 US HIGHWAY 60 WEST, SUITE B, ASHLAND, KY 41102
(606) 393-5586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171064
KY
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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