Individual
STEPHEN COONROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
Mailing address
1761 YORKTOWN RD, LEXINGTON, KY 40504-2231
(859) 536-1357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
254144
KY
1041C0700X
Clinical Social Worker
Primary
256471
KY
Other
Enumeration date
06/19/2019
Last updated
02/04/2022
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