MEDICARE: MR. DONAL ED SALCHLI LPCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PENDING	KY

General Provider Information

NPI Number	:	1265941454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONAL ED SALCHLI LPCA

Provider Business Mailing Address
First Line	:	220 RANCHO DR
Second Line	:
City	:	FRANKFORT
State	:	KY
Zip	:	40601-3064
Country	:	US
Telephone Number	:	502-229-1392
Fax Number	:

Provider Business Practice Location Address
First Line	:	2387 PROFESSIONAL HEIGHTS DR STE 180
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3013
Country	:	US
Telephone Number	:	859-967-9486
Fax Number	:	859-368-7780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2017
Last Update Date	:	09/20/2017

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