Organization
CCC OF WESTERN KENTUCKY
Active
Other names
Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER THOMPSON MS, LMFT (DIRECTOR)
(270) 442-5738
Entity
Organization
Contact information
Practice address
2820 JEFFERSON ST, PADUCAH, KY 42001-4170
(270) 442-5738
(270) 442-3172
Mailing address
PO BOX 8211, PADUCAH, KY 42002-8211
(270) 442-5738
(270) 442-3172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105399
KY
101YM0800X
Mental Health Counselor
105699
KY
101YP2500X
Professional Counselor
104561
KY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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