Individual
CLORISSA MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 US ROUTE 60, SUMMIT PLAZA BOX 11, ASHLAND, KY 41102-9516
(606) 929-9155
(606) 929-9833
Mailing address
5850 US ROUTE 60, SUMMIT PLAZA BOX 11, ASHLAND, KY 41102-9516
(606) 929-9155
(606) 929-9833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
10/28/2016
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