Individual
MR. KENNETH E CASELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LCADC
Contact information
Practice address
1000 E 18TH ST, OWENSBORO, KY 42303-4733
(270) 228-2991
(270) 228-2994
Mailing address
1000 E 18TH ST, OWENSBORO, KY 42303-4733
(270) 228-2991
(270) 228-2994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
170819
KY
101YM0800X
Mental Health Counselor
Primary
103835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12289275
CAQH
—
05
—
7100279790
—
KY
05
—
7100441920
—
KY
Enumeration date
08/30/2011
Last updated
04/13/2021
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