Ccc of Western Kentucky

NPI #1346756459 in Paducah, Kentucky

Provider Information

NPI Number: 1346756459
Entity Type: Organization
Organization Name: Ccc of Western Kentucky
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 27, 2017
Last Updated: Dec 27, 2017

Practice Location

Address: 2820 JEFFERSON ST
City: Paducah
State: Kentucky
ZIP Code: 42001-4170
Phone: (270) 442-5738

Authorized Official

Name: ROGER THOMPSON, MS, LMFT
Title: DIRECTOR
Phone: (270) 442-5738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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