Organization
MAPLE STREET COUNSELING CENTER PLLC
Active
Other names
Cognitive Connect Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE GABEL LPCC-S (OWNER)
(270) 278-6168
Entity
Organization
Contact information
Practice address
308 S 12TH ST, MURRAY, KY 42071-2342
(270) 278-1658
Mailing address
308 S 12TH ST, MURRAY, KY 42071-2342
(270) 278-1658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/26/2022
Last updated
02/27/2024
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