Individual
MRS. TARA JANE PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCM, TCADC
Contact information
Practice address
1700 FOREST DR, CORBIN, KY 40701-2316
(606) 401-2075
Mailing address
111 PROGRESS DR, MOUNT VERNON, KY 40456-8590
(606) 594-9018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
297913
KY
171M00000X
Case Manager/Care Coordinator
Primary
1212765
KY
Other
Enumeration date
05/07/2024
Last updated
04/27/2025
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