| Interhope Christian Counseling Pllc | |
|
1454 Diederich Blvd Russell KY 41169-1719 | |
| (606) 547-4536 | |
| (866) 511-5587 |
| Full Name | Interhope Christian Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1454 Diederich Blvd, Russell, Kentucky |
| Authorized Official Name and Position | Pamela Vanhorn (OWNER) |
| Authorized Official Contact | 6065474536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interhope Christian Counseling Pllc 1454 Diederich Blvd Russell KY 41169-1719 Ph: (606) 547-4536 | Interhope Christian Counseling Pllc 1454 Diederich Blvd Russell KY 41169-1719 Ph: (606) 547-4536 |
| NPI Number | 1376778522 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376778522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1072 (Kentucky) | Primary |
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