| Doctor Name: | WILLIAM WETHINGTON |
| NPI Number: | 1023042561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADC |
| License Number: | 588 |
| Business Practice Address: | 322 Middleburg Street Liberty, KY - 42539 |
| Business Phone Number: | 6067879472 |
| Business Fax Number: | 6067877344 |
| Mailing Address: | 130 Southern School Rd, SOMERSET |
| State: | KY |
| Postal Code: | 425013223 |
| Phone Number: | 6066794782 |
| Fax Number: | 6066785296 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |