Organization
A CENTER FOR CHANGE
Active
Other names
A Center 4 Change
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MICHELLE BOND JUDD LPCC (PRESIDENT)
(606) 939-8756
Entity
Organization
Contact information
Practice address
5900 ROUTE US 60 W, SUITE A, ASHLAND, KY 41102-9508
(606) 928-5116
Mailing address
PO BOX 5074, ASHLAND, KY 41105-5074
(606) 928-5116
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
06/29/2020
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