Individual
AARON CHARISSE GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
920 FREDERICA ST, SUITE 407, OWENSBORO, KY 42301-3050
(270) 689-0073
Mailing address
5342 WILLOWBROOK LOOP, OWENSBORO, KY 42301-8396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1701
KY
Other
Enumeration date
05/06/2014
Last updated
05/07/2014
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