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Individual

KAYLA SARGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3651 HIGHWAY 2565, 2ND FLOOR, LOUISA, KY 41230-5018
(606) 254-8959
Mailing address
716 SCHOOL RD, CUMBERLAND, KY 40823-1117
(606) 263-1549

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182731
OH
175T00000X
Peer Specialist

Other

Enumeration date
02/27/2017
Last updated
12/01/2022
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