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Individual

MR. DAVID RANDALL GAYHEART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 262-7491
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
240559
KY
103TC0700X
Clinical Psychologist
Primary
287242
KY

Other

Enumeration date
05/17/2022
Last updated
11/15/2023
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