MS. Kelly Lynn Pichotta, LCDC III

NPI #1720593312 in Walton, Kentucky

Provider Information

NPI Number: 1720593312
Entity Type: Individual
Name: MS. Kelly Lynn Pichotta, LCDC III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDC III
Enumeration Date: Dec 5, 2017
Last Updated: Dec 5, 2017

Practice Location

Address: 178 PITTY PAT LN
City: Walton
State: Kentucky
ZIP Code: 41094-7239
Phone: (859) 638-6502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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