Individual
CHERYL ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
300 FOXGLOVE DR, MT STERLING, KY 40353-9769
(859) 498-2135
(859) 498-7547
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000509976
ANTHEM BCBS
—
01
—
11645494
CAQH
—
01
—
610661987
UNITED BEHAVIORAL HEALTH
—
05
—
7100283050
—
KY
01
—
9971265
AETNA
—
Enumeration date
09/20/2006
Last updated
06/06/2014
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