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Organization

SOMERSET MENTAL HEALTH, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JASON M THAYER LCSW (ADMINISTRATOR)
(606) 679-6995
Entity
Organization

Contact information

Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
KY
251S00000X
Community/Behavioral Health Agency
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29102217
KY
05
7100190490
KY
Enumeration date
06/26/2006
Last updated
02/06/2017
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