Organization
INTEGRATION THERAPY KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HOGAN LCSW (CEO)
(502) 203-6951
Entity
Organization
Contact information
Practice address
103 ALLIE CT, BARDSTOWN, KY 40004-9189
(502) 203-6951
Mailing address
103 ALLIE CT, BARDSTOWN, KY 40004-9189
(502) 203-6951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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