Individual
CHASTITY RENEE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
112 SARTIN DR, EDMONTON, KY 42129-8170
(270) 901-5000
(270) 842-5268
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
164452
KY
101YP2500X
Professional Counselor
Primary
245472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
12/19/2017
Last updated
03/30/2022
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