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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