Individual
MAX O. STURDIVANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
(270) 886-0392
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
171233
KY
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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