| NPI | 1053712406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN HANSHAW Lmft / Owner 270-782-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-0132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC0000000029) |
| 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000094) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |