Individual
CRYSTAL LEE WODKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1003 TWILIGHT TRL STE 405, FRANKFORT, KY 40601-8471
(931) 217-1137
Mailing address
1675 OLD NEW LIBERTY RD, OWENTON, KY 40359-9675
(931) 217-1137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
246026
KY
Other
Enumeration date
07/07/2016
Last updated
02/12/2024
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