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TERESA OBRIEN-CONLEY LCSW CADC

Addiction Substance Use Disorder

Grethel, Kentucky

Provider NPI: 1376542746

Provider Information:
 TERESA  OBRIEN-CONLEY LCSW CADC
Gender: F
Not Sole Proprietor

Practice Location:
7629 KY ROUTE 979  GRETHEL, KY 41631 US
Tel: 606-587-2200  Fax: 606-587-2203

Business Mailing Address:
1709 KY ROUTE 321 SUITE 3 PRESTONSBURG, KY 41653 US
Tel: 606-886-8546  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
KY0521
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
KY1763

Other Provider Identifiers:

IssuerNumberStateType
82000795KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS KY - Page 1



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