Individual
TENE' ANN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 BLANKENBAKER PKWY, MIDDLETOWN, KY 40243-1881
(618) 791-1190
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169099
KY
Other
Enumeration date
12/22/2022
Last updated
11/27/2023
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