Individual
CYNTHIA JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
67 ELEVENTH ST, SOUTH PORTSMOUTH, KY 41174-9041
(740) 464-8985
Mailing address
67 ELEVENTH ST, SOUTH PORTSMOUTH, KY 41174-9041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.1700365
OH
104100000X
Social Worker
I.1700365
OH
Other
Enumeration date
12/22/2017
Last updated
04/11/2018
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