Organization
ALLIANCE COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH MEDLEY (CREDENTIALING MANAGER)
(270) 670-1461
Entity
Organization
Contact information
Practice address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 678-4801
Mailing address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 904-6567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/05/2011
Last updated
03/16/2022
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