Individual provider · Type 1 NPI
Mark Alan Modlin, M.S.
Counselor · Edgewood, KY
NPI number
1417375353
Active
Practice location
130 Dudley Pike, Suite 120
Edgewood, KY 41017-2396
Fax (859) 341-7173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | KY-0206 (KY) |
| Counselor | 101Y00000X | C.0001640 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY-0206 (KY) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C.0001640 (OH) |
| Mental Health Counselor | 101YM0800X | KY-0206 (KY) |
| Mental Health Counselor | 101YM0800X | C.0001640 (OH) |
| Professional Counselor | 101YP2500X | KY-0206 (KY) |
| Professional Counselor | 101YP2500X | C.0001640 (OH) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
Other counselor providers in Edgewood
About NPI 1417375353
Mark Alan Modlin, M.S.'s National Provider Identifier is 1417375353, issued on Mar 28, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edgewood, KY. The record was last updated on Jul 29, 2014.