| Doctor Name: | MR. CHARLES WARREN PRICE |
| NPI Number: | 1194906388 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPCAC |
| License Number: | 05187748 |
| Business Practice Address: | 410 E Madison St Louisa, KY - 412301701 |
| Business Phone Number: | 6066380222 |
| Business Fax Number: | |
| Mailing Address: | 410 E Madison St, LOUISA |
| State: | KY |
| Postal Code: | 412301701 |
| Phone Number: | 6066380222 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 05187748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |