Individual
SHERRY DAWN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Mailing address
4410 KY HIGHWAY 1778, HUSTONVILLE, KY 40437-8986
(606) 787-0424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
245328
KY
Other
Enumeration date
11/26/2018
Last updated
03/06/2019
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