Organization
MUSTARD TREE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ANTHONY MILLER LPCC (VICE PRESIDENT)
(859) 626-0001
Entity
Organization
Contact information
Practice address
620 BIG HILL AVE, SUITE 15, RICHMOND, KY 40475-2501
(859) 626-0001
Mailing address
620 BIG HILL AVE, SUITE 15, RICHMOND, KY 40475-2501
(859) 626-0001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY1533
KY
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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