Individual
ELIZABETH DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2000 BLOOM AVE, PADUCAH, KY 42003-2632
(270) 448-0961
Mailing address
PO BOX 7652, PADUCAH, KY 42002-7652
(270) 448-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
273714
KY
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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