Individual
MS. TINA FAY EBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
60 BENNETT CIR, LONDON, KY 40741-2842
(606) 878-1692
(606) 862-9334
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(502) 538-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
169400
KY
Other
Enumeration date
06/21/2016
Last updated
12/21/2016
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