Heritage Counseling and Consultation Center, LLC
NPI #1518369040 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1518369040
- Entity Type
- Organization
- Organization Name
- Heritage Counseling and Consultation Center, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 16, 2014
- Last Updated
- Sep 16, 2014
Practice Location
- Address
- 611 PEACEFUL DR
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-6465
- Phone
- (270) 996-5877
Authorized Official
- Name
- MS. GERALDINE HICKERSON, LCSW
- Title
- CLINICAL DIRECTOR
- Phone
- (270) 996-5877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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