Individual
KACIE DAWN ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
374 N KY 7, SANDY HOOK, KY 41171-7938
(606) 738-6163
(859) 241-3787
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
291245
KY
Other
Enumeration date
06/02/2020
Last updated
03/28/2024
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