Individual
THADDEUS BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
274 SOUTHLAND DR STE 204, LEXINGTON, KY 40503-1946
(859) 278-3456
Mailing address
274 SOUTHLAND DR, LEXINGTON, KY 40503-1946
(859) 278-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171451
KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY
Enumeration date
02/23/2018
Last updated
02/23/2018
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