Individual
MR. GATT READ WARE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLCADC, BIP
Contact information
Practice address
1043 PEDIGO WAY STE 30, BOWLING GREEN, KY 42103-6124
(270) 495-1224
(270) 599-0023
Mailing address
1043 PEDIGO WAY STE 30, BOWLING GREEN, KY 42103-6124
(270) 495-1224
(270) 599-0023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164501
KY
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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