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Organization

ABUNDANT GRACE COUNSELING & ASSESSMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELLY RENEE RITCHIE LPP (VICE PRESIDENT)
(606) 923-5144
Entity
Organization

Contact information

Practice address
4338 13TH ST, ASHLAND, KY 41102-5432
(606) 420-0198
(606) 420-0295
Mailing address
2722 GREENWAY RD, ASHLAND, KY 41102-6120
(606) 923-5144

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/09/2022
Last updated
03/09/2022
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