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Geneva Bradshaw, LPCC
Professional Counselor in Scottsville, Kentucky
NPI 1609290907

Geneva Bradshaw is a Professional Counselor based in Bowling Green, KY and is specialized in Professional. Geneva Bradshaw practices in Scottsville, KY and has the professional credentials of LPCC. The NPI Number for Geneva Bradshaw is 1609290907 and holds a License No. (Kentucky).

The current practice location address for Geneva Bradshaw is 49 Hillview Dr, Scottsville, KY and can be reached out via phone at 270-901-5000.

Location: 49 Hillview Dr, Scottsville, KY, 42103-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609290907
Provider Name
Geneva Bradshaw
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
49 Hillview Dr, Scottsville, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100417810 05 KY
institution
Provider Business Practice Location Address Details
Address
49 Hillview Dr
City
Scottsville
State
Kentucky
Zip
42164-9309
Phone Number
270-901-5000
Fax Number
person
Provider Business Mailing Address Details
Address
49 Hillview Dr
City
Scottsville
State
Kentucky
Zip
42164-9309
Phone Number
270-901-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
168477 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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