Individual
MICAIAH J HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
425 N MAYSVILLE ST, MOUNT STERLING, KY 40353-1050
(859) 497-0594
(859) 432-1025
Mailing address
425 N MAYSVILLE ST, MOUNT STERLING, KY 40353-1050
(859) 497-0594
(859) 432-1025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
274365
KY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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