THERESA WADDELL

ELIZABETHTOWN, KY
NPI1669843710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  1322)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- THERESA WADDELL CADC
725 NEW GLENDALE RD
ELIZABETHTOWN, KY 42701-8373
Phone number: 270-839-6743
Mailing Address
-- THERESA WADDELL CADC
725 NEW GLENDALE RD
ELIZABETHTOWN, KY 42701-8373
Phone number: 270-839-6743
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