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Individual

MS. BRIANNA JANE BAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, TCADC

Contact information

Practice address
3110 CUMBERLAND FALLS HWY, CORBIN, KY 40701-8681
(606) 523-9386
Mailing address
1300 STONEY FORK RD, CORBIN, KY 40701-8875
(419) 231-7123

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
266448
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M00000X
KY
Enumeration date
12/15/2021
Last updated
12/15/2021
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