Organization
KATHY TICHENOR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LOUISE TICHENOR LCSW (OUTPATIENT THERAPIST)
(270) 339-5670
Entity
Organization
Contact information
Practice address
190 MADISON SQUARE DR STE D, MADISONVILLE, KY 42431-2785
(270) 339-5670
Mailing address
769 LEGION DR STE D, MADISONVILLE, KY 42431-3109
(270) 339-5670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
10/30/2019
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