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Fred Crisp
Counselor in Greenup, Kentucky
NPI 1821142969

Fred Crisp is a Counselor based in Ashland, KY. Fred Crisp practices in Greenup, KY. The NPI Number for Fred Crisp is 1821142969 and holds a License No. (Kentucky).

The current practice location address for Fred Crisp is 57 Dora Ln, Greenup, KY and can be reached out via phone at 606-473-5282. You can also correspond with Fred Crisp through the mailing address at PO BOX 790, ASHLAND, KY - 41105-0790 (mailing address contact number: 606-329-8588).

Location: 57 Dora Ln, Greenup, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821142969
Provider Name
Fred Crisp
Credential
Provider Entity Type
Individual
Gender
Male
Address
57 Dora Ln, Greenup, KY, 41105-0790
Phone Number
606-473-5282
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30610026 05 KY
institution
Provider Business Practice Location Address Details
Address
57 Dora Ln
City
Greenup
State
Kentucky
Zip
41144-1187
Phone Number
606-473-5282
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 790
City
Ashland
State
Kentucky
Zip
41105-0790
Phone Number
606-329-8588
Fax Number
606-329-8195
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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