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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES W WASHAM JR., D.MIN, MSW

Active Sole Proprietor

DR. CHARLES W WASHAM JR., D.MIN, MSW is a Marriage & Family Therapist healthcare provider located in CRESTVIEW HILLS, Kentucky. NPI 1750303475 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · CRESTVIEW HILLS, KY

Registration Details

NPI Number
1750303475
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2006 (20.047515007552 yrs)
Last Updated
Jun 5, 2016
Licenses
34003127 (IN)
119 (KY)
0717000269 (VA)
103679 (KY)
Sole Proprietor
Yes

Practice Information

Address
2734 CHANCELLOR DR
SUITE 202
CRESTVIEW HILLS, KY, 410173487
Browse KY providers · Browse ZIP 41017
Phone
8599829009
Fax
8593413709
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Mental Health Counselor

Other Marriage & Family Therapist Providers in CRESTVIEW HILLS, KY

Name Credential NPI
EMERALD LEA SKIRVIN MA 1225278237
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.