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Individual

MRS. MONICA T BLEDSOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4029

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0934
KY
101YM0800X
Mental Health Counselor
Primary
103017
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11891021
CAQH
05
7100293270
KY
Enumeration date
09/25/2008
Last updated
05/12/2023
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