Individual
HANNAH KANDRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 DIXIE HWY, ERLANGER, KY 41018-1884
(606) 393-6695
Mailing address
1847 NORTHERN SPY DR, HEBRON, KY 41048-8282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
277549
KY
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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