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Kendra Rae Marcum
Counselor in Georgetown, Kentucky
NPI 1558052100

Kendra Rae Marcum is a Counselor based in Georgetown, KY. Kendra Rae Marcum practices in Georgetown, KY. The NPI Number for Kendra Rae Marcum is 1558052100 and holds a License No. (Kentucky).

The current practice location address for Kendra Rae Marcum is 110 Roach St, Georgetown, KY and can be reached out via phone at 502-863-4734 and via fax at 502-863-4735.

Location: 110 Roach St, Georgetown, KY, 40324-9393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558052100
Provider Name
Kendra Rae Marcum
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Roach St, Georgetown, KY, 40324-9393
Phone Number
502-863-4734
Fax Number
502-863-4735
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790731081 05 KY
institution
Provider Business Practice Location Address Details
Address
110 Roach St
City
Georgetown
State
Kentucky
Zip
40324-9393
Phone Number
502-863-4734
Fax Number
502-863-4735
person
Provider Business Mailing Address Details
Address
110 Roach St
City
Georgetown
State
Kentucky
Zip
40324-9393
Phone Number
502-863-4734
Fax Number
502-863-4735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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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