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Individual

MR. ELLIOTT BRAM SEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
155 VOLCANO RD, BURKESVILLE, KY 42717-7697
(270) 433-7900
(270) 433-7901
Mailing address
155 VOLCANO RD, BURKESVILLE, KY 42717-7697
(270) 433-7900
(270) 433-7901

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1125
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11984180
CAQH
KY
Enumeration date
07/14/2009
Last updated
01/22/2019
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