Organization
INTERHOPE CHRISTIAN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA VANHORN LCSW (OWNER)
(606) 547-4536
Entity
Organization
Contact information
Practice address
1454 DIEDERICH BLVD, RUSSELL, KY 41169-1719
(606) 547-4536
(866) 511-5587
Mailing address
1454 DIEDERICH BLVD, RUSSELL, KY 41169-1719
(606) 547-4536
(866) 511-5587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1072
KY
Other
Enumeration date
05/18/2009
Last updated
03/22/2011
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