Individual
MARK SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 N MAIN ST STE 1, MONTICELLO, KY 42633-2900
(606) 278-6096
Mailing address
1215 N MAIN ST STE 1, MONTICELLO, KY 42633-2900
(606) 278-6096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171888
KY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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