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Organization

EVERLASTING HOPE FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVE BURGOON LPCC (CLINICAL COUNSELOR)
(270) 305-1820
Entity
Organization

Contact information

Practice address
668 BYPASS RD, BRANDENBURG, KY 40108-1730
(270) 305-1820
(833) 384-7008
Mailing address
87 ROLLING CT, EKRON, KY 40117-8649
(270) 305-1820

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100694080
KY
Enumeration date
10/18/2021
Last updated
04/13/2022
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