Individual
DARA E CYRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(606) 393-1165
Mailing address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(606) 393-1649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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