Doctor Name: | JOHN HISHMEH |
NPI Number: | 1699909366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCA |
License Number: | 0875 |
Business Practice Address: | 118 W Union St Munfordville, KY - 427658911 |
Business Phone Number: | 2705249883 |
Business Fax Number: | 2705240437 |
Mailing Address: | 118 W Union St, MUNFORDVILLE |
State: | KY |
Postal Code: | 427658911 |
Phone Number: | 2705249883 |
Fax Number: | 2705240437 |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |