Individual
BRADLEY WIMSATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC-S
Contact information
Practice address
920 FREDERICA ST STE 308, OWENSBORO, KY 42301-3078
(270) 702-4006
Mailing address
920 FREDERICA ST STE 308, OWENSBORO, KY 42301-3078
(270) 702-4006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
277258
KY
Other
Enumeration date
12/06/2013
Last updated
03/09/2026
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