person
Richard Phillip Gantt, LPCC
Professional Counselor in Prestonsburg, Kentucky
NPI 1417174285

Richard Phillip Gantt is a Professional Counselor based in Prestonsburg, KY and is specialized in Professional. Richard Phillip Gantt practices in Prestonsburg, KY and has the professional credentials of LPCC. The NPI Number for Richard Phillip Gantt is 1417174285 and holds a License No. 104898 (Kentucky).

The current practice location address for Richard Phillip Gantt is 104 S Front Ave, Prestonsburg, KY and can be reached out via phone at 606-886-8572. You can also correspond with Richard Phillip Gantt through the mailing address at 104 S FRONT AVE, PRESTONSBURG, KY - 41653-1614 (mailing address contact number: 606-886-8572).

Location: 104 S Front Ave, Prestonsburg, KY, 41653-1614
person
Provider Profile Details
NPI Number
1417174285
Provider Name
Richard Phillip Gantt
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
104 S Front Ave, Prestonsburg, KY, 41653-1614
Phone Number
606-886-8572
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104898 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
104 S Front Ave
City
State
Zip
41653-1614
Phone Number
606-886-8572
Fax Number
person
Provider Business Mailing Address Details
Address
104 S Front Ave
City
State
Zip
41653-1614
Phone Number
606-886-8572
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
104898 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
104898 (Kentucky)
Definition
Definition to come...
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