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Individual

MRS. DARIANN NICOLE UPDIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPCC, PBSS

Contact information

Practice address
317 KOEHLER DR, LEBANON, KY 40033-9388
(270) 321-4198
(270) 795-4006
Mailing address
250 ROB SMITH RD, COLUMBIA, KY 42728-4214
(270) 378-0122

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
173530
KY
101YM0800X
Mental Health Counselor
Primary
292326
KY

Other

Enumeration date
06/20/2017
Last updated
07/26/2024
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