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Individual

MICHAEL HISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCADC

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
Primary
269984
KY
106H00000X
Marriage & Family Therapist
264143
KY

Other

Enumeration date
08/05/2021
Last updated
01/18/2023
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