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Organization
WHOLE LIFE BEHAVIORAL HEALTH PSC
Active
Organization
WHOLE LIFE BEHAVIORAL HEALTH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MATTIE SUBLETT LPCC, NCC (PRESIDENT, CEO)
(606) 371-2130
Entity
Organization
Contact information
Practice address
32 LAWMAR RD, AUXIER, KY 41602-9278
(606) 371-2130
Mailing address
32 LAWMAR RD, AUXIER, KY 41602-9278
(606) 371-2130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0899
KY
Other
Enumeration date
01/06/2008
Last updated
03/21/2011
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