Individual
MISS TARA LEE SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, ICADC, CAP
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
265202
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-014313-2016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
08/17/2020
Last updated
06/01/2022
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