Individual
TASHA MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1050 CHINOE RD STE 203, LEXINGTON, KY 40502-6571
(859) 554-0740
Mailing address
117 ELLEMOOR LN, LEXINGTON, KY 40515-5647
(715) 220-2629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272544
KY
Other
Enumeration date
08/09/2021
Last updated
08/30/2021
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