Kathy Tichenor Counseling Llc | |
190 Madison Square Dr Ste D Madisonville KY 42431-2785 | |
(270) 339-5670 | |
Not Available |
Full Name | Kathy Tichenor Counseling Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 190 Madison Square Dr Ste D, Madisonville, Kentucky |
Authorized Official Name and Position | Kathy Louise Tichenor (OUTPATIENT THERAPIST) |
Authorized Official Contact | 2703395670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kathy Tichenor Counseling Llc 769 Legion Dr Ste D Madisonville KY 42431-3109 Ph: (270) 339-5670 | Kathy Tichenor Counseling Llc 190 Madison Square Dr Ste D Madisonville KY 42431-2785 Ph: (270) 339-5670 |
NPI Number | 1568923969 |
---|---|
Provider Enumeration Date | 03/28/2019 |
Last Update Date | 10/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568923969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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