Individual
MR. DANIEL BRIAN SULFRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
311 GERI LN, RICHMOND, KY 40475-2305
(859) 488-1096
Mailing address
PO BOX 523, RICHMOND, KY 40476-0523
(859) 488-1096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104603
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
05
—
7100430190
—
KY
Enumeration date
02/28/2008
Last updated
08/08/2019
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