| Clinical Consulting Practice, Pllc | |
|
525 Main St West Liberty KY 41472-1015 | |
| (606) 495-5478 | |
| Not Available |
| Full Name | Clinical Consulting Practice, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 Main St, West Liberty, Kentucky |
| Authorized Official Name and Position | Jimalee Y Ross (DIRECTOR) |
| Authorized Official Contact | 6064955478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Consulting Practice, Pllc 123 Pleasant View Ln Ezel KY 41425-8522 Ph: (606) 495-5478 | Clinical Consulting Practice, Pllc 525 Main St West Liberty KY 41472-1015 Ph: (606) 495-5478 |
| NPI Number | 1396945432 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396945432 | NPI | - | NPPES |
| 1376698167 | Other | KY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3019 (Kentucky) | Primary |
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