Individual
LAWERENCE COLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 JORDANS WAY, SOMERSET, KY 42501-3166
(606) 802-2927
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 802-2927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1321
KY
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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