Provider Demographics
NPI:1609154442
Name:TOWNS, ERNEST LEE (CADC, CADAC-II)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:LEE
Last Name:TOWNS
Suffix:
Gender:M
Credentials:CADC, CADAC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 WOODLAND DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2770
Mailing Address - Country:US
Mailing Address - Phone:270-735-1515
Mailing Address - Fax:270-735-1398
Practice Address - Street 1:1239 WOODLAND DR
Practice Address - Street 2:SUITE 116
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2770
Practice Address - Country:US
Practice Address - Phone:270-735-1515
Practice Address - Fax:270-735-1398
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0931101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)