Individual
TIMOTHY CESARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCADC
Contact information
Practice address
1203 AMERICAN GREETING RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165466
KY
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100414190
—
KY
Enumeration date
04/23/2007
Last updated
09/27/2016
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