Individual
EMILY NICOLE IDLEWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-1010
(606) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
127180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127180
LPCA
KY
Enumeration date
01/09/2024
Last updated
01/09/2024
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