Individual
FALLON BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1048 ASHLEY ST, BOWLING GREEN, KY 42103-2449
(270) 904-6567
(270) 904-6570
Mailing address
1048 ASHLEY ST, BOWLING GREEN, KY 42103-2449
(270) 904-6567
(270) 904-6570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1733
KY
Other
Enumeration date
04/29/2014
Last updated
09/10/2014
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