| Kathy Tichenor Counseling Llc | |
|
190 Madison Square Dr Ste D Madisonville KY 42431-2785 | |
| (270) 339-5670 | |
| Not Available |
| Full Name | Kathy Tichenor Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 190 Madison Square Dr Ste D, Madisonville, Kentucky |
| Authorized Official Name and Position | Kathy Louise Tichenor (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 2703395670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Tichenor Counseling Llc 769 Legion Dr Ste D Madisonville KY 42431-3109 Ph: (270) 339-5670 | Kathy Tichenor Counseling Llc 190 Madison Square Dr Ste D Madisonville KY 42431-2785 Ph: (270) 339-5670 |
| NPI Number | 1568923969 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568923969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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