Organization
COMMONWEALTH COUNSELING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY H. MULLINS MSW (OWNER)
(270) 881-1062
Entity
Organization
Contact information
Practice address
1609 S MAIN ST, HOPKINSVILLE, KY 42240-1970
(270) 881-1062
(270) 887-0785
Mailing address
1861 E. 9TH ST., HOPKINSVILLE, KY 42240-1970
(270) 881-1062
(270) 887-0785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
KY1182
KY
1041C0700X
Clinical Social Worker
Primary
KY03
KY
Other
Enumeration date
09/06/2006
Last updated
10/30/2007
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