| Abc Counseling, Pllc | |
|
678 Diederich Russell KY 41169-1824 | |
| (606) 388-4051 | |
| (606) 388-4081 |
| Full Name | Abc Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 678 Diederich, Russell, Kentucky |
| Authorized Official Name and Position | Rebecca Jo Nichols (CO-OWNER) |
| Authorized Official Contact | 6063884051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Counseling, Pllc 978 Diederich Boulevard Russell KY 41169-1824 Ph: (606) 388-4051 | Abc Counseling, Pllc 678 Diederich Russell KY 41169-1824 Ph: (606) 388-4051 |
| NPI Number | 1871864470 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871864470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | KY LICENSE #1170 (Kentucky) | Primary |
| 101Y00000X | Counselor | KY LICENSE #1040 (Kentucky) | Secondary |
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