Individual
KERI KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA,LPCC
Contact information
Practice address
840 INTERSTATE DR, GRAYSON, KY 41143-1768
(606) 474-5151
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0838
KY
101YM0800X
Mental Health Counselor
1307
KY
101YP2500X
Professional Counselor
Primary
103547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000631701
ANTHEM BCBS
—
05
—
30610026
—
KY
Enumeration date
02/02/2007
Last updated
07/18/2024
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