Provider First Line Business Practice Location Address:
849 HIGHWAY 191
Provider Second Line Business Practice Location Address:
ML CANTRELL PSYCHOTHERAPEUTIC SERVICES PLLC
Provider Business Practice Location Address City Name:
WEST LIBERTY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41472-8315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-743-2407
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2006