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Individual

DEREK STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, LPCC

Contact information

Practice address
3439 BUCKHORN DR, LEXINGTON, KY 40515-1716
(859) 271-1634
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(859) 271-1634

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1621
KY
101YP2500X
Professional Counselor
KY-1621
KY

Other

Enumeration date
01/07/2014
Last updated
10/20/2015
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