Organization
GRACE COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN PHELPS M.S. (CEO)
(606) 637-3538
Entity
Organization
Contact information
Practice address
138 KENT HAVEN DR, SOMERSET, KY 42503-6281
(606) 637-3538
Mailing address
138 KENT HAVEN DR, SOMERSET, KY 42503-6281
(606) 637-3538
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
KY-0085
KY
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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