Individual
LINDA ROSE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(270) 836-6978
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
118365
KY
Other
Enumeration date
01/25/2018
Last updated
05/20/2024
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