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Samuel Staggs, MED
Mental Health Counselor in Covington, Kentucky
NPI 1982974630

Samuel Staggs is a Mental Health Counselor based in Covington, KY and is specialized in Mental Health. Samuel Staggs practices in Covington, KY and has the professional credentials of MED. The NPI Number for Samuel Staggs is 1982974630 and holds a License No. 164155 (Kentucky).

The current practice location address for Samuel Staggs is 513 Madison Ave, Covington, KY and can be reached out via phone at 859-331-3292 and via fax at 859-578-2864.

Location: 513 Madison Ave, Covington, KY, 41011-3717
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Provider Profile Details
NPI Number
1982974630
Provider Name
Samuel Staggs
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
513 Madison Ave, Covington, KY, 41011-3717
Phone Number
859-331-3292
Fax Number
859-578-2864
Provider Enumeration Date
01/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
610661458 01 KY TAX ID
institution
Provider Business Practice Location Address Details
Address
513 Madison Ave
City
State
Zip
41011-1562
Phone Number
859-331-3292
Fax Number
859-578-2864
person
Provider Business Mailing Address Details
Address
513 Madison Ave
City
State
Zip
41011-1562
Phone Number
859-331-3292
Fax Number
859-578-2864
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
164155 (Kentucky)
Definition
Definition to come...
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