Individual
TABITHA KAY HEDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
233 PARKERS MILL WAY, SOMERSET, KY 42503-4152
(606) 485-9323
Mailing address
233 PARKERS MILL WAY, SOMERSET, KY 42503-4152
(606) 485-9323
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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