| Organization Name: | MILLSTONE COUNSELING CENTER |
| NPI Number: | 1053638650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILFRED LEE JONES (OWNER/OPERATOR) |
| Mailing Address: | 4001 Hansen Rd Paducah |
| State: | KY US |
| Postal Code: | 420019784 |
| Phone Number: | 2705549216 |
| Fax Number: | 2705548732 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 810275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |