Individual
KIMBERLY RUTHANN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,TCADC
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
813 ENGINEER ST, CORBIN, KY 40701-1039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174844
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30613038
—
KY
Enumeration date
04/26/2018
Last updated
04/26/2018
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