Individual
MS. MIRANDA CHYANNE LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
800 CORBIN MNR APT 4, CORBIN, KY 40701-8032
(606) 308-0148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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