Individual
ANDREA L ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
327 ASH STREET, LEXINGTON, KY 40508
(859) 552-9189
Mailing address
327 ASH STREET, LEXINGTON, KY 40508
(859) 552-9189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
288693
KY
101YP2500X
Professional Counselor
Primary
288693
KY
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
10/09/2018
Last updated
04/26/2024
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