Individual
MICHELLE DAWN MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW, TCADC
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
277529
KY
1041C0700X
Clinical Social Worker
Primary
255264
KY
Other
Enumeration date
09/17/2021
Last updated
07/14/2023
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