Mother Of Good Counsel | |
1389 Highway 15 N Jackson KY 41339-7015 | |
(606) 666-4011 | |
(606) 666-5801 |
Full Name | Mother Of Good Counsel |
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Speciality | Counselor |
Location | 1389 Highway 15 N, Jackson, Kentucky |
Authorized Official Name and Position | Pablo Merced (OWNER) |
Authorized Official Contact | 6066664011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mother Of Good Counsel 1389 Highway 15 N Jackson KY 41339-7015 Ph: (606) 666-4011 | Mother Of Good Counsel 1389 Highway 15 N Jackson KY 41339-7015 Ph: (606) 666-4011 |
NPI Number | 1972974186 |
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Provider Enumeration Date | 10/14/2015 |
Last Update Date | 10/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972974186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 800192 (Kentucky) | Primary |
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