person
Mark J Saderholm, LPCC
Professional Counselor in Edmonton, Kentucky
NPI 1265567549

Mark J Saderholm is a Professional Counselor based in Bowling Green, KY and is specialized in Professional. Mark J Saderholm practices in Edmonton, KY and has the professional credentials of LPCC. The NPI Number for Mark J Saderholm is 1265567549 and holds a License No. 102948 (Kentucky).

The current practice location address for Mark J Saderholm is 112 Sartin Dr., Edmonton, KY and can be reached out via phone at 270-432-4951 and via fax at 270-432-5054. You can also correspond with Mark J Saderholm through the mailing address at 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY - 42103-7956 (mailing address contact number: 270-901-5000).

Location: 112 Sartin Dr., Edmonton, KY, 42103-7956
person
Provider Profile Details
NPI Number
1265567549
Provider Name
Mark J Saderholm
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
112 Sartin Dr., Edmonton, KY, 42103-7956
Phone Number
270-432-4951
Fax Number
270-432-5054
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100289700 05 KY
institution
Provider Business Practice Location Address Details
Address
112 Sartin Dr.
City
State
Zip
42129
Phone Number
270-432-4951
Fax Number
270-432-5054
person
Provider Business Mailing Address Details
Address
112 Sartin Dr.
City
State
Zip
42129
Phone Number
270-432-4951
Fax Number
270-432-5054
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
102948 (Kentucky)
Definition
Definition to come...
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