Individual
TERRENA LEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CADC
Contact information
Practice address
1092 DUVAL ST STE 250, LEXINGTON, KY 40515-8908
(859) 523-7383
(859) 523-7384
Mailing address
1092 DUVAL ST STE 250, LEXINGTON, KY 40515-8908
(859) 523-7383
(859) 523-7384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0365
KY
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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