Organization
KVC BEHAVORIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RUSSELL BSW (FPP SPECIALIST)
(606) 216-4938
Entity
Organization
Contact information
Practice address
561 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 216-4938
Mailing address
561 N LAKE DR, PRESTONSBURG, KY 41653-1278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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