Individual
JUSTIN MAHLMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(800) 805-6989
Mailing address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1162871
KY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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