Organization
BLUEGRASS PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HATCHER (MANAGING EMPLOYEE)
(270) 696-3181
Entity
Organization
Contact information
Practice address
103 EAST SOUTH STREET, MUNFORDVILLE, KY 42765
(270) 696-3181
(877) 308-1668
Mailing address
103 E SOUTH ST, MUNFORDVILLE, KY 42765-9023
(270) 696-3181
(877) 308-1668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00211339
KY
104100000X
Social Worker
6908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100326630
—
KY
05
—
7100366710
—
KY
Enumeration date
05/01/2015
Last updated
11/30/2023
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