Individual
GENEVA MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
587 SALYERS BRANCH RD, SANDY HOOK, KY 41171-7398
(606) 738-6368
Mailing address
587 SALYERS BRANCH RD, SANDY HOOK, KY 41171-7398
(606) 738-6368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCCA00220342
KY
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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