Isaiah House, RBT Valid NPI
Individual provider · Counselor · Bowling Green, KY
- NPI
- 1962071746
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 292333 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-06-24
- Last updated
- 2024-06-04
Practice location
822 Woodway St
Bowling Green, KY 42101-2771
(270) 901-5000