Individual
JENNIFER RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 DAVIS RD, MT STERLING, KY 40353-9549
(800) 562-8909
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
273636
KY
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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