Individual
SIDNEY GENE SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
177 BURT RD, LEXINGTON, KY 40503-2457
(859) 687-9725
Mailing address
177 BURT RD, LEXINGTON, KY 40503
(859) 687-9725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
255495
KY
1041C0700X
Clinical Social Worker
Primary
255495
KY
Other
Enumeration date
08/26/2021
Last updated
07/11/2022
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