Individual
STEPHANIE M. RAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1524 VERSAILLES RD, LEXINGTON, KY 40504-2406
(859) 252-2002
(859) 252-2592
Mailing address
1524 VERSAILLES RD, LEXINGTON, KY 40504-2406
(859) 252-2002
(859) 252-2592
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166325
STATE ISSUED
KY
Enumeration date
06/05/2018
Last updated
06/05/2018
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