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Theresa Faye Stotts
Mental Health Counselor in Columbia, Kentucky
NPI 1417413303

Theresa Faye Stotts is a Mental Health Counselor based in Columbia, KY and is specialized in Mental Health. Theresa Faye Stotts practices in Columbia, KY. The NPI Number for Theresa Faye Stotts is 1417413303 and holds a License No. (Kentucky).

The current practice location address for Theresa Faye Stotts is 933 Russell Rd., Columbia, KY and can be reached out via phone at 270-384-1736.

Location: 933 Russell Rd., Columbia, KY, 42728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417413303
Provider Name
Theresa Faye Stotts
Credential
Provider Entity Type
Individual
Gender
Female
Address
933 Russell Rd., Columbia, KY, 42728
Phone Number
270-384-1736
Fax Number
Provider Enumeration Date
02/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100807930 05 KY
institution
Provider Business Practice Location Address Details
Address
933 Russell Rd.
City
Columbia
State
Kentucky
Zip
42728
Phone Number
270-384-1736
Fax Number
person
Provider Business Mailing Address Details
Address
933 Russell Rd.
City
Columbia
State
Kentucky
Zip
42728
Phone Number
270-384-1736
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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