Individual
RETINA A DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1830 DESTINY LN STE 106, BOWLING GREEN, KY 42104-1088
(270) 904-5195
(270) 904-3648
Mailing address
1830 DESTINY LN STE 106, BOWLING GREEN, KY 42104-1088
(270) 904-5195
(270) 904-3648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105644
KY
Other
Enumeration date
03/05/2007
Last updated
12/01/2016
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