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Organization

ASSOCIATES IN COUNSELING AND PSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT BRUCE FANE ED.D (LICENSED PSYCHOLOGIST/OWNER)
(270) 393-9833
Entity
Organization

Contact information

Practice address
1011 LEHMAN AVE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835
Mailing address
1011 LEHMAN AVE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1104
KY

Other

Enumeration date
10/02/2006
Last updated
08/28/2013
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