Organization
HERITAGE COUNSELING AND CONSULTATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE HICKERSON LCSW (CLINICAL DIRECTOR)
(270) 996-5877
Entity
Organization
Contact information
Practice address
611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
(270) 996-5877
Mailing address
611 PEACEFUL DR, ELIZABETHTOWN, KY 42701-6465
(270) 996-5877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3394
KY
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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