Individual
STEPHEN ROGERS CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, TCADC
Contact information
Practice address
901 US HIGHWAY 68 STE 900, MAYSVILLE, KY 41056-9190
(606) 584-7055
Mailing address
123 E 3RD ST APT 1, MAYSVILLE, KY 41056-1746
(606) 584-7055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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