Individual
MARY ELIZABETH MAYHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-8288
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
(606) 564-8288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169155
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100464590
—
KY
Enumeration date
06/09/2017
Last updated
03/12/2018
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