Organization
MILLSTONE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER EDWARDS LPCA (OWNER)
(270) 554-9216
Entity
Organization
Contact information
Practice address
4001 HANSEN RD, PADUCAH, KY 42001-9784
(270) 554-9216
(270) 554-8732
Mailing address
4001 HANSEN RD, PADUCAH, KY 42001-9784
(270) 554-9216
(270) 554-8732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810275
LICENSE
KY
Enumeration date
01/10/2020
Last updated
01/10/2020
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