Individual
TERESA OBRIEN-CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CADC
Contact information
Practice address
7629 KY ROUTE 979, GRETHEL, KY 41631-6304
(606) 587-2200
(606) 587-2203
Mailing address
1709 KY ROUTE 321, SUITE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0521
KY
1041C0700X
Clinical Social Worker
Primary
1763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82000795
—
KY
Enumeration date
07/19/2005
Last updated
09/12/2024
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