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Organization

COURAGE TO CHANGE COUNSELING SERVICES LLC

Active
Parent organization
COURAGE TO CHANGE CORP
Organization subpart
Yes

Provider details

NPI number
Legal business name
COURAGE TO CHANGE CORP
Authorized official
DAVID T TIPTON PH.D. LPCC (OWNER)
(606) 224-8451
Entity
Organization

Contact information

Practice address
311 WALKER LN, LONDON, KY 40744-9036
(606) 224-8451
Mailing address
311 WALKER LN, LONDON, KY 40744-9036
(606) 224-8451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/09/2024
Last updated
09/27/2024
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