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Dylan Camacho, LPCC
Professional Counselor in Bowling Green, Kentucky
NPI 1417440884

Dylan Camacho is a Professional Counselor based in Bowling Green, KY and is specialized in Professional. Dylan Camacho practices in Bowling Green, KY and has the professional credentials of LPCC. The NPI Number for Dylan Camacho is 1417440884 and holds a License No. 173714 (Kentucky).

The current practice location address for Dylan Camacho is 1900 Smallhouse Rd, Bowling Green, KY and can be reached out via phone at 270-303-5292 and via fax at 270-596-0837.

Location: 1900 Smallhouse Rd, Bowling Green, KY, 42103-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417440884
Provider Name
Dylan Camacho
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
1900 Smallhouse Rd, Bowling Green, KY, 42103-7956
Phone Number
270-303-5292
Fax Number
270-596-0837
Provider Enumeration Date
06/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
1900 Smallhouse Rd
City
Bowling Green
State
Kentucky
Zip
42104-3270
Phone Number
270-303-5292
Fax Number
270-596-0837
person
Provider Business Mailing Address Details
Address
1900 Smallhouse Rd
City
Bowling Green
State
Kentucky
Zip
42104-3270
Phone Number
270-303-5292
Fax Number
270-596-0837
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
263107 (Kentucky)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
173714 (Kentucky)
Definition
Definition to come...
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