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MR. STEPHEN PAUL WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1409 HIGHWAY 3057, SOMERSET, KY 42501-3363
(404) 955-7796
Mailing address
1409 HIGHWAY 3057, SOMERSET, KY 42501-3363
(404) 955-7796

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
289579
KY
251B00000X
Case Management Agency
Primary

Other

Enumeration date
11/01/2019
Last updated
02/02/2024
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