Individual
ZACHARIAH CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 238-1485
Mailing address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 238-1485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
269514
KY
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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