Individual
SANTOSH ADHIKARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3200
(859) 578-3273
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
(859) 578-3242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165997
KY
1041C0700X
Clinical Social Worker
Primary
254229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
610661458
KY
Enumeration date
07/06/2017
Last updated
07/21/2022
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