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Ethan Edwards, LPCA
Counselor in Bowling Green, Kentucky
NPI 1932697398

Ethan Edwards is a Counselor based in Bowling Green, KY. Ethan Edwards practices in Bowling Green, KY and has the professional credentials of LPCA. The NPI Number for Ethan Edwards is 1932697398 and holds a License No. (Kentucky).

The current practice location address for Ethan Edwards is 380 Suwannee Trail St, Bowling Green, KY and can be reached out via phone at 270-901-5000 and via fax at 270-842-5268.

Location: 380 Suwannee Trail St, Bowling Green, KY, 42103-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932697398
Provider Name
Ethan Edwards
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
380 Suwannee Trail St, Bowling Green, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
Provider Enumeration Date
05/01/2018
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
380 Suwannee Trail St
City
Bowling Green
State
Kentucky
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider Business Mailing Address Details
Address
380 Suwannee Trail St
City
Bowling Green
State
Kentucky
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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.
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