Organization
SHILOH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY JEAN SMITH LCSW (CLINICAL DIRECTOR)
(606) 231-2614
Entity
Organization
Contact information
Practice address
272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 878-1131
Mailing address
272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 878-1131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100152000
—
KY
Enumeration date
01/31/2013
Last updated
01/31/2013
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