Individual
CALEB MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Mailing address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
294242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101008430
—
KY
Enumeration date
08/29/2024
Last updated
10/23/2024
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