Individual
KATHRYN WHITESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 709-0410
Mailing address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 709-0410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
285986
KY
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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