Organization
KEYSTONE BEHAVIORAL HEALTH, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LEFEVERS CARROLL LCSW (OWNER)
(606) 337-8496
Entity
Organization
Contact information
Practice address
637 HIGHWAY 2077, PINEVILLE, KY 40977-8308
(606) 337-8496
(606) 337-8496
Mailing address
637 HIGHWAY 2077, PINEVILLE, KY 40977-8308
(606) 337-8496
(606) 337-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1067
KY
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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