Individual
DR. CHARLES W WASHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN, MSW
Contact information
Practice address
2734 CHANCELLOR DR, SUITE 202, CRESTVIEW HILLS, KY 41017-3487
(859) 982-9009
(859) 341-3709
Mailing address
2734 CHANCELLOR DR, SUITE 202, CRESTVIEW HILLS, KY 41017-3487
(859) 982-9009
(859) 341-3709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103679
KY
1041C0700X
Clinical Social Worker
34003127
IN
106H00000X
Marriage & Family Therapist
0717000269
VA
106H00000X
Marriage & Family Therapist
Primary
119
KY
Other
Enumeration date
07/24/2006
Last updated
06/05/2016
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