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Individual

DR. MARK DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, LCADC, PH.D.

Contact information

Practice address
1100 US HIGHWAY 127 S STE C4, FRANKFORT, KY 40601-4325
(502) 803-7445
(502) 470-3572
Mailing address
215 MONTGOMERY AVE, GEORGETOWN, KY 40324-1247
(502) 803-7445
(502) 470-3572

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADCADT00222882
KY
101YP2500X
Professional Counselor
Primary
240673
KY

Other

Enumeration date
10/25/2017
Last updated
07/01/2022
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