Individual
KAREN PESCOSOLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
200 E FRAZIER AVE, COLUMBIA, KY 42728-1915
(270) 384-4719
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0908
KY
101YP2500X
Professional Counselor
Primary
908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610666065
EMPLOYER TAX ID
KY
Enumeration date
09/30/2008
Last updated
01/15/2014
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