Individual
MR. CHARLES WARREN PRICE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPCAC
Contact information
Practice address
410 E MADISON ST, LOUISA, KY 41230-1701
(606) 638-0222
Mailing address
410 E MADISON ST, LOUISA, KY 41230-1701
(606) 638-0222
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
05187748
FL
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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