Individual
THEA ANDREA CIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, TCADC
Contact information
Practice address
3110 CUMBERLAND FALLS HWY, CORBIN, KY 40701-8681
(606) 523-9386
(606) 523-9307
Mailing address
1764 N KY 233, GRAY, KY 40734-6752
(606) 521-2611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
240587
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30613038
—
KY
Enumeration date
04/25/2018
Last updated
04/25/2018
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