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Organization

CREATIVE THERAPEUTIC CONNECTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA BERGMAN LPCC (CEO)
(859) 609-3893
Entity
Organization

Contact information

Practice address
3309 DIXIE HWY, ERLANGER, KY 41018-4047
(859) 609-3893
Mailing address
3149 MEADOWAY CT, INDEPENDENCE, KY 41051-6717
(859) 609-3893

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00216421
KY

Other

Enumeration date
05/20/2015
Last updated
05/20/2015
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