Individual
AMY BRICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 678-4801
(270) 678-3866
Mailing address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 678-4801
(270) 678-3866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
148217
KY
101YP2500X
Professional Counselor
LPCPCC00195367
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
08/15/2011
Last updated
06/02/2016
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