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Individual

MRS. CECELIA DAWN BUNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
123 E. SMITH STREET, BURKESVILLE, KY 42717-9639
(270) 634-0369
Mailing address
404 TUTT ST, COLUMBIA, KY 42728-1571
(270) 634-0369

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168129
KY
101YM0800X
Mental Health Counselor
Primary
1522
KY

Other

Enumeration date
09/16/2014
Last updated
09/10/2021
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