person
Lereasa Lynne Pedigo, CADC
Addiction (Substance Use Disorder) Counselor in Bowling Green, Kentucky
NPI 1396870804

Lereasa Lynne Pedigo is an Addiction (Substance Use Disorder) Counselor based in Scottsville, KY and is specialized in Addiction (Substance Use Disorder). Lereasa Lynne Pedigo practices in Bowling Green, KY and has the professional credentials of CADC. The NPI Number for Lereasa Lynne Pedigo is 1396870804 and holds a License No. 0272 (Kentucky).

The current practice location address for Lereasa Lynne Pedigo is 822 Woodway St, Bowling Green, KY and can be reached out via phone at 270-901-5000 and via fax at 270-842-0721.

Location: 822 Woodway St, Bowling Green, KY, 42164-1126
person
Provider Profile Details
NPI Number
1396870804
Provider Name
Lereasa Lynne Pedigo
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
822 Woodway St, Bowling Green, KY, 42164-1126
Phone Number
270-901-5000
Fax Number
270-842-0721
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
822 Woodway St
City
State
Zip
42101-2771
Phone Number
270-901-5000
Fax Number
270-842-0721
person
Provider Business Mailing Address Details
Address
822 Woodway St
City
State
Zip
42101-2771
Phone Number
270-901-5000
Fax Number
270-842-0721
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0272 (Kentucky)
Definition
Definition to come...
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