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Individual

ERIKA MUNCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
718 COLUMBIA ST, NEWPORT, KY 41071-1837
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3204
(859) 578-3273

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
174367
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610661458
TAX ID
KY
Enumeration date
08/21/2017
Last updated
08/30/2017
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