Individual
SAMANTHA COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 HWY 80, HYDEN, KY 41749
(606) 216-3366
Mailing address
2355 HWY 80, HYDE, KY 41749
(606) 216-3366
(606) 435-0817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
267114
KY
Other
Enumeration date
06/17/2011
Last updated
09/25/2024
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