Individual
AMY COBB MCMULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
310 MAIN ST, SHELBYVILLE, KY 40065-1026
(502) 423-1123
Mailing address
1601 DORAL CT, SHELBYVILLE, KY 40065-9045
(502) 423-1123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
245101
KY
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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