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Individual

MS. LARONDA GAIL TERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0989
KY
101YM0800X
Mental Health Counselor
Primary
170811
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100432980
KY
Enumeration date
03/09/2010
Last updated
12/27/2016
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