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David L Eastham JR., MA
Mental Health Counselor in Richmond, Kentucky
NPI 1336298462

David L Eastham JR. is a Mental Health Counselor based in Lexington, KY and is specialized in Mental Health. David L Eastham JR. practices in Richmond, KY and has the professional credentials of MA. The NPI Number for David L Eastham JR. is 1336298462 and holds a License No. (Kentucky).

The current practice location address for David L Eastham JR. is 411 Gibson Ln, Richmond, KY and can be reached out via phone at 859-253-1686 and via fax at 859-254-2743.

Location: 411 Gibson Ln, Richmond, KY, 40511-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336298462
Provider Name
David L Eastham JR.
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
411 Gibson Ln, Richmond, KY, 40511-1217
Phone Number
859-253-1686
Fax Number
859-254-2743
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30615058 05 KY
institution
Provider Business Practice Location Address Details
Address
411 Gibson Ln
City
Richmond
State
Kentucky
Zip
40475-2577
Phone Number
859-253-1686
Fax Number
859-254-2743
person
Provider Business Mailing Address Details
Address
411 Gibson Ln
City
Richmond
State
Kentucky
Zip
40475-2577
Phone Number
859-253-1686
Fax Number
859-254-2743
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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