Individual
COREY BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
503 DARBY CREEK RD, LEXINGTON, KY 40509-1603
(859) 264-8797
(859) 264-9957
Mailing address
503 DARBY CREEK RD, LEXINGTON, KY 40509-1603
(859) 264-8797
(859) 264-9957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1400325
OH
Other
Enumeration date
07/01/2015
Last updated
10/23/2015
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