Organization
ABC COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA JO NICHOLS M.ED, LPCC (CO-OWNER)
(606) 388-4051
Entity
Organization
Contact information
Practice address
678 DIEDERICH, RUSSELL, KY 41169-1824
(606) 388-4051
(606) 388-4081
Mailing address
978 DIEDERICH BOULEVARD, RUSSELL, KY 41169-1824
(606) 388-4051
(606) 388-4081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
KY LICENSE #1040
KY
101Y00000X
Counselor
Primary
KY LICENSE #1170
KY
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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