Individual
REBECCA ANN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 324-1411
(606) 325-8606
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0576
KY
101YP2500X
Professional Counselor
0659
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365515
ANTHEM BCBS
—
01
—
11726256
CAQH
—
05
—
30610026
—
KY
Enumeration date
10/04/2006
Last updated
08/16/2011
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