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Individual

EMILY PANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103
(270) 901-5000
(270) 842-0721
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105670
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100287260
KY
Enumeration date
08/30/2006
Last updated
12/18/2017
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