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Individual

MISS ASHLEY NOELLE BIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA, LCADC

Contact information

Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
45 MISSOURI CT, CANTON, KY 42211-8603
(270) 314-7301

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168133
KY
101YM0800X
Mental Health Counselor
Primary
172848
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168133
KY BOARD OF ALCOHOL AND DRUG COUNSELORS
KY
01
172848
KY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY
Enumeration date
01/05/2015
Last updated
01/16/2024
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