RETINA A DICK LPCC NPI 1568591790

NPI Information

NPI: 1568591790
Provider Name: RETINA A DICK, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1830 DESTINY LN STE 106
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 904-5195
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Retina A Dick, LPCC is a professional counselor in Bowling Green, KY. Retina A Dick, LPCC NPI is 1568591790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1830 DESTINY LN STE 106
BOWLING GREEN, KY
ZIP 42104-088
Phone: (270) 904-5195
Fax: (270) 904-3648

The enumeration date for this NPI number is 3/5/2007 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	105644	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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