Individual
DIANA ISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3444 CUMBERLAND FALLS HWY, CORBIN, KY 40701-9056
(606) 401-7997
Mailing address
3444 CUMBERLAND FALLS HWY, CORBIN, KY 40701-9056
(606) 401-7997
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1211374
KY
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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