Individual
JASON THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3155
KY
Other
Enumeration date
12/14/2007
Last updated
03/07/2014
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