Individual
SANDRA MAE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
722 SCOTT ST, COVINGTON, KY 41011-2418
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/02/2006
Last updated
08/05/2014
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