Organization
MASATA, INC.
Active
Other names
Summit Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. NATHAN MCANELLY MSW, CSW (CLINICAL DIRECTOR, THERAPIST)
(606) 787-1950
Entity
Organization
Contact information
Practice address
549 MIDDLEBURG ST., LIBERTY, KY 42539
(606) 787-1950
(606) 787-0123
Mailing address
PO BOX 1116, LIBERTY, KY 42539-1116
(606) 787-1950
(606) 787-0123
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
810273
KY
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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