Quatavia Shertonia Wilkins LPCA

NPI 1134483795 - Counselor - 101Y00000X

NPI Details
NPI 1134483795
Gender Female
Enumeration Date 06/28/2012
Last Updated 06/28/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2025 BYPASS RD STE 205
BRANDENBURG KY, 40108-1634, US
Phone (270) 422-3971
Fax (270) 422-4882
Business Location
107 CRANES ROOST CT
ELIZABETHTOWN KY, 42701-3650, US
Phone (270) 765-2605
Fax (270) 234-8572
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Quatavia Shertonia Wilkins LPCA NPI is 1134483795, taxonomy code is 101Y00000X Quatavia Shertonia Wilkins LPCA physically located at 2025 Bypass Rd Ste 205, Brandenburg KY, 40108-1634. NPI Number Quatavia Shertonia Wilkins LPCA has the Individual type.

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1134483795 NPI number is provided on an as is basis without warranty of any kind. 1134483795 is maintained by the National Plan & Provider Enumeration System. The contents of Quatavia Shertonia Wilkins LPCA are for informational purposes only.