| NPI | 1558717710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA FAYE DIXON Licensed Professional Counselor 270-860-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00218883) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |