Doctor Name: | WANDA SEXTON |
NPI Number: | 1922385129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | LPCPCC00220318 |
Business Practice Address: | 103 E. South St. Munfordville, KY - 42765 |
Business Phone Number: | 2705791095 |
Business Fax Number: | 2705241577 |
Mailing Address: | Po Box 356, MUNFORDVILLE |
State: | KY |
Postal Code: | 427650356 |
Phone Number: | 2705791095 |
Fax Number: | 2705241577 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPCPCC00220318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |