MEDICARE: CECIL J WARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	201104234	KY

General Provider Information

NPI Number	:	1538818042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECIL J WARD

Provider Business Mailing Address
First Line	:	2548 CLAY ST
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-3716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2589 SPRING VALLEY LOOP
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40511-8639
Country	:	US
Telephone Number	:	270-994-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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Directions to “ CECIL J WARD ” Practice Location

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