Organization
CTG LIMITED CO
Active
Other names
Crase Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RENEE CRASE LCSW (OWNER)
(606) 506-5055
Entity
Organization
Contact information
Practice address
268 E FRIEND ST STE 101, PRESTONSBURG, KY 41653-8071
(606) 506-5055
(606) 506-5073
Mailing address
311 N ARNOLD AVE STE 504, PRESTONSBURG, KY 41653-1279
(606) 226-1530
(606) 506-5073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5132
LCSW
KY
05
—
7100425940
—
KY
Enumeration date
09/13/2019
Last updated
09/13/2019
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