Organization
CHILD AND FAMILY SERVICE COORDINATION, LLC
Active
Organization
CHILD AND FAMILY SERVICE COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN TRABUE LPCC (CEO)
(270) 746-6600
Entity
Organization
Contact information
Practice address
9940 ALVATON RD, ALVATON, KY 42122-9657
(270) 746-6600
(270) 842-9008
Mailing address
9940 ALVATON RD, ALVATON, KY 42122-9657
(270) 746-6600
(270) 842-9008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
Primary
29100427
KY
251B00000X
Case Management Agency
29200425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29100427
—
KY
05
—
29200425
—
KY
Enumeration date
05/17/2007
Last updated
06/05/2014
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