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Organization

COURAGE TO CHANGE CORP

Active
Other names
CTC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID T TIPTON MA, LPCC (OWNER/ PBSS)
(606) 224-8451
Entity
Organization

Contact information

Practice address
2785 N MAIN ST STE 101B, HAZARD, KY 41701-5910
(606) 224-8451
Mailing address
311 WALKER LN, LONDON, KY 40744-9036
(606) 224-8451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
08/16/2023
Last updated
08/17/2023
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