Individual
LAQUITA GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 LASSITER CT, RADCLIFF, KY 40160-9283
(270) 300-1841
Mailing address
217 LASSITER CT, RADCLIFF, KY 40160-9283
(270) 300-1841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1754
KENTUCKY LICENSE CERTIFICATE
KY
Enumeration date
10/30/2014
Last updated
10/30/2014
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