Individual
STEPHANIE BROOKE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 238-1485
(270) 900-1037
Mailing address
145 POINTERS CT APT 2, RINEYVILLE, KY 40162-9538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
267754
KY
101YP2500X
Professional Counselor
Primary
283502
KY
Other
Enumeration date
02/08/2022
Last updated
11/08/2024
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