Individual
TAMIE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHESTNUT ST, BEREA, KY 40403-1558
(859) 986-0650
Mailing address
105 SALTER RD, BEREA, KY 40403-9702
(859) 779-5052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1397
KY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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