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Mark Modlin, Inc.
Mental Health Counselor in Edgewood, Kentucky
NPI 1881003705

Mark Modlin, Inc. is a Mental Health Counselor based in Edgewood, KY and is specialized in Mental Health. Mark Modlin, Inc. practices in Edgewood, KY. The NPI Number for Mark Modlin, Inc. is 1881003705 and holds a License No. KY-0206 (Kentucky).

The current practice location address for Mark Modlin, Inc. is 130 Dudley Pike, Edgewood, KY and can be reached out via phone at 859-341-7170 and via fax at 859-341-7173.

Location: 130 Dudley Pike, Edgewood, KY, 41017-2396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881003705
Provider Name
Mark Modlin, Inc.
Credential
Provider Entity Type
Organization
Address
130 Dudley Pike, Edgewood, KY, 41017-2396
Phone Number
859-341-7170
Fax Number
859-341-7173
Provider Enumeration Date
08/05/2014
Last Update Date
03/13/2024
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.
KY-0206 (Kentucky)
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.
C.0001640 (Ohio)
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.
KY-0206 (Kentucky)
Definition
Definition to come...
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