| A Center 4 Change | |
|
5900 Us Highway 60 West Suite B Ashland KY 41102 | |
| (606) 393-5586 | |
| Not Available |
| Full Name | A Center 4 Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5900 Us Highway 60 West, Ashland, Kentucky |
| Authorized Official Name and Position | Tonya Judd (OWNER) |
| Authorized Official Contact | 6063935586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Center 4 Change 5900 Us Highway 60 West Suite B Ashland KY 41102 Ph: (606) 393-5586 | A Center 4 Change 5900 Us Highway 60 West Suite B Ashland KY 41102 Ph: (606) 393-5586 |
| NPI Number | 1013450212 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013450212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 171064 (Kentucky) | Primary |
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