Individual
MRS. DIANA GAIL CAILLOUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2530 SCOTTSVILLE RD, 22, BOWLING GREEN, KY 42104-6509
(270) 782-6121
(270) 842-2734
Mailing address
2530 SCOTTSVILLE RD #22, 22, BOWLING GREEN, KY 42104-6509
(270) 782-6121
(270) 842-2734
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0060
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100344610
—
KY
01
—
KY-0060
LMFT LICENSURE NUMBER
KY
Enumeration date
12/29/2006
Last updated
03/21/2016
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