Organization
CAMACHO COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN CAMACHO (OWNER)
(270) 303-5292
Entity
Organization
Contact information
Practice address
1900 SMALLHOUSE RD, BOWLING GREEN, KY 42104-3270
(270) 303-5292
Mailing address
1900 SMALLHOUSE RD, BOWLING GREEN, KY 42104-3270
(270) 303-5292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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