Most Relevant Information
Provider Data
NPI Number: | 1003334780 |
Provider Name: | MARTIN BENNETT HUNDLEY LPCA |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/01/2017 |
Last Updated: | 09/01/2017 |
Provider Practice Location
274 SOUTHLAND DR # 204
LEXINGTON
KY
40503
Practice Location Phone/Fax
Phone: | 8592783456 |
Fax: |
Provider Mailing Location
510 MALLARD PARK
VERSAILLES
KY
40383
Provider Mailing Phone/Fax
Phone: | 8593969511 |
Fax: |