Individual
DIANA THORNBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 233-1955
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
283235
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
271562
KY
Other
Enumeration date
07/02/2018
Last updated
03/26/2024
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