Individual
MADELINE PUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 578-3200
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
(859) 534-2989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
174711
KY
Other
Enumeration date
07/29/2015
Last updated
11/19/2021
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