Individual
BETTY HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102
(606) 324-3005
(606) 329-1530
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.1901045
OH
101YM0800X
Mental Health Counselor
E.1901045
OH
101YP2500X
Professional Counselor
Primary
260775
KY
101YP2500X
Professional Counselor
E.1901045
OH
Other
Enumeration date
06/13/2019
Last updated
11/25/2019
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