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Mark Alan Modlin, MS
Professional Counselor in Edgewood, Kentucky
NPI 1417375353

Mark Alan Modlin is a Professional Counselor based in Edgewood, KY and is specialized in Professional. Mark Alan Modlin practices in Edgewood, KY and has the professional credentials of MS. The NPI Number for Mark Alan Modlin is 1417375353 and holds a License No. KY-0206 (Kentucky).

The current practice location address for Mark Alan Modlin is 130 Dudley Pike, Edgewood, KY and can be reached out via phone at 859-341-7170 and via fax at 859-341-7173. You can also correspond with Mark Alan Modlin through the mailing address at 130 DUDLEY PIKE, EDGEWOOD, KY - 41017-2396 (mailing address contact number: 859-341-7170).

Location: 130 Dudley Pike, Edgewood, KY, 41017-2396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417375353
Provider Name
Mark Alan Modlin
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
130 Dudley Pike, Edgewood, KY, 41017-2396
Phone Number
859-341-7170
Fax Number
859-341-7173
Provider Enumeration Date
03/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Dudley Pike
City
Edgewood
State
Kentucky
Zip
41017-2396
Phone Number
859-341-7170
Fax Number
859-341-7173
person
Provider Business Mailing Address Details
Address
130 Dudley Pike
City
Edgewood
State
Kentucky
Zip
41017-2396
Phone Number
859-341-7170
Fax Number
859-341-7173
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.0001640 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
KY-0206 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.0001640 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
KY-0206 (Kentucky)
Definition
Definition to come...
semi-verified symbol
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