Individual
MR. ERIC TODD ALSIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCADC, LPA
Contact information
Practice address
1203 AMERICAN GREETING RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165387
KY
101YM0800X
Mental Health Counselor
167179
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100416270
—
KY
Enumeration date
04/23/2007
Last updated
09/27/2016
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