Individual
NICHOLAS WAYNE BLOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
441 E 80 DR, COLUMBIA, KY 42728-8927
(270) 250-5264
Mailing address
441 E 80 DR, COLUMBIA, KY 42728-8927
(270) 250-5264
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
240324
KY
Other
Enumeration date
04/21/2015
Last updated
04/18/2018
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