Individual provider · Type 1 NPI

Dylan Camacho, LPCC

Professional Counselor · Bowling Green, KY

NPI number 1417440884 Active

Practice location

1900 Smallhouse Rd
Bowling Green, KY 42104-3270

Call (270) 303-5292 Map

Fax (270) 596-0837

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X173714 (KY)
Professional Counselor Primary 101YP2500X263107 (KY)

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About NPI 1417440884

Dylan Camacho, LPCC's National Provider Identifier is 1417440884, issued on Jun 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bowling Green, KY. The record was last updated on Jun 21, 2022.