Individual provider · Type 1 NPI

Teddy Pack

Addiction (Substance Use Disorder) Counselor · Prestonsburg, KY

NPI number 1336550003 Active

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Call (606) 886-8572 Map

Fax (606) 886-4433

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1336550003

Teddy Pack's National Provider Identifier is 1336550003, issued on May 15, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prestonsburg, KY. The record was last updated on May 15, 2014.