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Individual

MRS. ALLYSON R. BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7430 US 42 STE 217, FLORENCE, KY 41042-1992
(859) 341-7773
(859) 341-0376
Mailing address
7430 US 42 STE 217, FLORENCE, KY 41042-1992
(859) 341-7773
(859) 341-0376

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1304
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000173517
ANTHEM BC AND BS
KY
01
085192
COMPSYCH
KY
01
160302
VALUE OPTIONS
KY
01
251796000
MAGELLAN
KY
Enumeration date
12/13/2006
Last updated
12/02/2015
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