Individual
ALICE J WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 OAKLAWN WAY, BOWLING GREEN, KY 42104-3867
(270) 791-9568
Mailing address
624 OAKLAWN WAY, BOWLING GREEN, KY 42104-3867
(270) 791-9568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
248450
KY
Other
Enumeration date
05/20/2019
Last updated
04/24/2024
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