Individual
JOANN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
342 OLD MAIN ST, MUNFORDVILLE, KY 42765-9121
(270) 524-5937
Mailing address
30 HILLSDALE CT, LEITCHFIELD, KY 42754-2246
(270) 524-5937
(270) 524-5937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1984
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
10/19/2006
Last updated
07/08/2007
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