Individual
MELANDA ADAMS-HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KPSD
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 364-2384
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
175T00000X
KY
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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