| Ctg Limited Co | |
|
268 E Friend St Ste 101 Prestonsburg KY 41653-8071 | |
| (606) 506-5055 | |
| (606) 506-5073 |
| Full Name | Ctg Limited Co |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 268 E Friend St Ste 101, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Cynthia Renee Crase (OWNER) |
| Authorized Official Contact | 6065065055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctg Limited Co 311 N Arnold Ave Ste 504 Prestonsburg KY 41653-1279 Ph: (606) 226-1530 | Ctg Limited Co 268 E Friend St Ste 101 Prestonsburg KY 41653-8071 Ph: (606) 506-5055 |
| NPI Number | 1346890134 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346890134 | NPI | - | NPPES |
| 7100425940 | Medicaid | KY | |
| 5132 | Other | KY | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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