Individual
BROOKE MERCEDES DEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 KAY ST # 2227, SOMERSET, KY 42503-4642
(615) 848-4163
Mailing address
80 KAY ST # 2227, SOMERSET, KY 42503-4642
(615) 848-4163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
273516
KY
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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