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Individual

MR. LAWRENCE CLAY UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, CADC

Contact information

Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501
(606) 679-6995
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY-0390
KY
101YP2500X
Professional Counselor
Primary
KY-1374
KY

Other

Enumeration date
02/25/2013
Last updated
08/29/2018
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