Individual
REBECCA DEAN FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
KY
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
04/24/2023
Last updated
10/23/2025
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