| N/a | |
|
179 W Evelyn Ave Monticello KY 42633-1511 | |
| (606) 875-2924 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 179 W Evelyn Ave, Monticello, Kentucky |
| Authorized Official Name and Position | Kendra M Patton (LPCC-OWNER) |
| Authorized Official Contact | 6068752924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 179 W Evelyn Ave Monticello KY 42633-1511 Ph: (606) 875-2924 | N/a 179 W Evelyn Ave Monticello KY 42633-1511 Ph: (606) 875-2924 |
| NPI Number | 1558841023 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558841023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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