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Individual

CHARLIE ELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
156 N LAKE DR, PRESTONSBURG, KY 41653-1270
(606) 506-5077
(606) 506-5039
Mailing address
211 8TH ST, PAINTSVILLE, KY 41240-1284
(606) 209-1548

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
273775
KY
101YM0800X
Mental Health Counselor
Primary
283695
KY

Other

Enumeration date
07/31/2018
Last updated
07/13/2023
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