Individual
ANITA R GAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, CADC
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0766
KY
101YM0800X
Mental Health Counselor
0500
KY
101YM0800X
Mental Health Counselor
Primary
1448
KY
Other
Enumeration date
04/20/2007
Last updated
08/05/2014
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