Individual
THADDIUS BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
288577
KY
Other
Enumeration date
07/25/2016
Last updated
08/01/2024
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