Organization
BROADWAY CHURCH OF CHRIST
Active
Other names
Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER DALE THOMPSON MS LMFT QMHP (EXECUTIVE DIRECTOR)
(270) 442-5738
Entity
Organization
Contact information
Practice address
2820 JEFFERSON ST, PADUCAH, KY 42001
(270) 442-5738
(270) 442-3172
Mailing address
PO BOX 8211, PADUCAH, KY 42002
(270) 442-5738
(270) 442-3172
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
07/25/2008
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