Individual
MR. PAUL DOUGLAS ACRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3175 CUSTER DR, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Mailing address
3175 CUSTER DR, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14L
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273363
ANTHEM BC/BS
KY
05
—
82000472
—
KY
Enumeration date
04/11/2006
Last updated
07/08/2007
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