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General NPI Number Information
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NPI Number | 1174687156
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Entity Type | Organization
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Legal Business Name | PREVENTION COUNSELING SERVICES
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 132 S PUBLIC SQ
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City | GLASGOW
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State | KY
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Zip | 42141-2434
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Country | US
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Telephone | 270-651-5246
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Fax | 270-651-1965
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Provider Business Mailing Address
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Address Line | 132 S PUBLIC SQ
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City | GLASGOW
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State | KY
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Zip | 42141-2434
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Country | US
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Telephone | 270-651-5246
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Fax | 270-651-1965
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EILEEN SLATER
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Credential |
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Telephone | 270-651-5246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 810013
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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