Individual
TAMMY FEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 WATERTOWER BYP, CAMPBELLSVILLE, KY 42718-7654
(270) 465-4931
(270) 465-7993
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/22/2021
Last updated
10/24/2023
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