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Individual

ANITA R GAYLOR

Active
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Individual

ANITA R GAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, CADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0766
KY
101YM0800X
Mental Health Counselor
0500
KY
101YM0800X
Mental Health Counselor
Primary
1448
KY

Other

Enumeration date
04/20/2007
Last updated
08/05/2014
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