Individual
LENA A HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
1448 DIEDERICH BLVD, RUSSELL, KY 41169
(606) 834-0020
(606) 834-0049
Mailing address
1448 DIEDERICH BLVD, RUSSELL, KY 41169-1719
(606) 834-0020
(606) 834-0049
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000239397
ANTHEM BCBS
—
01
—
11751686
CAQH
—
05
—
7100281080
—
KY
Enumeration date
08/08/2006
Last updated
07/20/2020
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