Individual
SHERRY BASORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
460 WILSON AVE, VERSAILLES, KY 40383-1947
(859) 753-6626
Mailing address
393 SOUTHPOINT DR, LEXINGTON, KY 40515-4763
(859) 619-5443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
284154
KY
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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