Organization
SMALL BRIDGES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON M (OFFICE MANAGER 1)
(785) 375-4439
Entity
Organization
Contact information
Practice address
1562 SAND SPRINGS RD, MOUNT VERNON, KY 40456-9060
(785) 375-4439
Mailing address
1562 SAND SPRINGS RD, MOUNT VERNON, KY 40456-9060
(785) 375-4439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
05/09/2021
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