Organization
LIFE IMPROVEMENT COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATRICIA ROSE (CONTRACTING SPECIALIST)
(502) 489-7122
Entity
Organization
Contact information
Practice address
418 WATT STREET, JEFFERSONVILLE, IN 47130
(812) 288-8030
(812) 288-8032
Mailing address
418 WATT STREET, JEFFERSONVILLE, IN 47130
(812) 288-8030
(812) 288-8032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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