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Anthony Wayne Deveraux, PA
Counselor in Owingsville, Kentucky
NPI 1023026853

Anthony Wayne Deveraux is a Counselor based in Ashland, KY. Anthony Wayne Deveraux practices in Owingsville, KY and has the professional credentials of PA. The NPI Number for Anthony Wayne Deveraux is 1023026853 and holds a License No. 0721 (Kentucky).

The current practice location address for Anthony Wayne Deveraux is 664 Slate Avenue, Owingsville, KY and can be reached out via phone at 606-674-6690 and via fax at 606-674-6903.

Location: 664 Slate Avenue, Owingsville, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023026853
Provider Name
Anthony Wayne Deveraux
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
664 Slate Avenue, Owingsville, KY, 41105-0790
Phone Number
606-674-6690
Fax Number
606-674-6903
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000355703 01 ANTHEM BCBS
30610026 05 KY
institution
Provider Business Practice Location Address Details
Address
664 Slate Avenue
City
Owingsville
State
Kentucky
Zip
40360
Phone Number
606-674-6690
Fax Number
606-674-6903
person
Provider Business Mailing Address Details
Address
664 Slate Avenue
City
Owingsville
State
Kentucky
Zip
40360
Phone Number
606-674-6690
Fax Number
606-674-6903
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0721 (Kentucky)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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