Individual
LAURA BIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 MOORE DR, LEXINGTON, KY 40503-2932
(859) 785-1030
Mailing address
160 MOORE DR, LEXINGTON, KY 40503-2932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287467
KY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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