Karen Hammond, LPCC

Individual provider Active NPI Professional Counselor · Alvaton, KY

NPI 1336503135 · NPPES record last updated Apr 7, 2016

Key facts

NPI
1336503135
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPCPCC00224569 (KY)
Practice address
9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone
(270) 746-6600
Fax
(270) 842-9008
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPCPCC00224569KYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCPCC00224569 KY Yes

Addresses

Primary practice location

9940 Alvaton Rd
Alvaton, KY 42122-9657

Mailing address

1581 Oxford Way
Bowling Green, KY 42103-4710
Phone (270) 746-6600

Other names

  • Karen Elizabeth Wassom Former name

Other providers in Alvaton, KY

All providers in Alvaton, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.