Individual
KELSEY D LEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TOWN AND COUNTRY LN STE 106, HAZARD, KY 41701-9524
(606) 435-7557
(606) 435-7558
Mailing address
PO BOX 2011, HAZARD, KY 41702-2011
(606) 435-7557
(606) 435-7558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
260760
KY
101YM0800X
Mental Health Counselor
277285
KY
101YP2500X
Professional Counselor
Primary
277285
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100815470
—
KY
Enumeration date
01/14/2022
Last updated
04/13/2026
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