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Organization

SEEDS OF HOPE FAMILY THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSE PATRICK WALTZ LMFT (MARRIAGE AND FAMILY THERAPIST)
(270) 312-7752
Entity
Organization

Contact information

Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 312-7752
Mailing address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 312-7752

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0765
KY

Other

Enumeration date
04/26/2011
Last updated
04/26/2011
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