Individual
RUTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(606) 784-4161
(606) 783-9952
Mailing address
P.O. BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558496
ANTHEM BCBS
—
01
—
11816330
CAQH
—
05
—
7100283170
—
KY
Enumeration date
10/02/2006
Last updated
11/07/2014
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