Individual
DYLAN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1900 SMALLHOUSE RD, BOWLING GREEN, KY 42104-3270
(270) 303-5292
(270) 596-0837
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
173714
KY
101YP2500X
Professional Counselor
Primary
263107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
06/11/2018
Last updated
06/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us