Organization
CREATIVE COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALENA BLACKBURN LPCC (MEMBER/OWNER)
(606) 634-0193
Entity
Organization
Contact information
Practice address
384 N MAYO TRL, UNIT C, PIKEVILLE, KY 41501-1493
(606) 634-0193
Mailing address
PO BOX 2992, PIKEVILLE, KY 41502-2992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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