Individual
MS. MARY LOU CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPP
Contact information
Practice address
849 HIGHWAY 191, ML CANTRELL PSYCHOTHERAPEUTIC SERVICES PLLC, WEST LIBERTY, KY 41472-8315
(606) 743-2407
Mailing address
849 HIGHWAY 191, WEST LIBERTY, KY 41472-8315
(606) 743-2407
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY0707
KY
Other
Enumeration date
06/21/2006
Last updated
08/14/2014
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