Individual
MISTY DAWN MEADORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
262790
KY
101YM0800X
Mental Health Counselor
Primary
259885
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/11/2011
Last updated
02/08/2022
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