Organization
GEORGETOWN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM PETRAE JOHNSON LCSW (OWNER)
(859) 312-6400
Entity
Organization
Contact information
Practice address
137 E MAIN ST, GEORGETOWN, KY 40324-1786
(859) 312-6400
(859) 309-4588
Mailing address
315 N BROADWAY ST, GEORGETOWN, KY 40324-1305
(859) 312-6400
(859) 309-4588
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3292
KY
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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