Individual
DEBRA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Mailing address
107 EAGLES NEST RD, CORBIN, KY 40701-2679
(606) 528-9929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001
KY
101YP2500X
Professional Counselor
0052
KY
1041C0700X
Clinical Social Worker
Primary
1364
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C62028
CUMBERLAND HEALTHCARE INC
KY
Enumeration date
05/23/2007
Last updated
12/30/2014
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