Individual
MR. ANDREW DOUGLAS VANEYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
537 MAPLE ST, GEORGETOWN, KY 40324-1943
(502) 370-4265
Mailing address
537 MAPLE ST, GEORGETOWN, KY 40324-1943
(502) 370-4265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
290519
KY
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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