Individual
DALE E BERTRAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D./MFT
Contact information
Practice address
203 W MAIN ST, WARSAW, KY 41095-9303
(859) 567-4430
(859) 567-4438
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0311
KY
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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