Individual
MICHAEL CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 WINCHESTER AVE, ASHLAND, KY 41101-7745
(606) 324-1141
(606) 498-7325
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
11/01/2019
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