Individual
KIMBERLY KAY MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1212 BATH AVE, ASHLAND, KY 41101-2696
(606) 329-8588
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0903
KY
103T00000X
Psychologist
Primary
1403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
07/15/2006
Last updated
04/24/2014
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