Individual
JAMES BRASHEAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
336 HWY 199 N, MAYKING, KY 41837
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3993
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30612022
—
KY
Enumeration date
06/09/2006
Last updated
07/08/2007
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