Kelley J Gannon is a Counselor in Lexington, Kentucky. Kelley J Gannon practices all healthcare services and medical treatments related to Counselor. The NPI Number for Kelley J Gannon is 1053460931. The last update date is 2007-07-09.
Kelley J Gannon's current location address is 1351 Newtown Pike, Lexington, Kentucky. You can contact this provider via phone number 8592531686 and fax number 8592532743. The mailing address for Kelley J Gannon is 1351 Newtown Pike, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelley J Gannon |
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Address | 1351 Newtown Pike, Lexington, Kentucky |
Phone Number | 8592531686 |
Fax Number | 8592532743 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1053460931 |
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Provider Enumeration Date | 2007-01-09 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1351 Newtown Pike |
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City | Lexington |
State | Kentucky (KY) |
Post Code | 405111217 |
Phone Number | 8592531686 |
Fax Number | 8592532743 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | 1728 |
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 supe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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30615058 | KY | -- |
Post Comment/ Review Below
Where is the Kelley J Gannon located?
The Kelley J Gannon is located at 1351 Newtown Pike, Lexington, KY 405111217.
What is the area of specialization for Kelley J Gannon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelley J Gannon is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
When was the Kelley J Gannon's 1053460931 issued?
The Kelley J Gannon's 1053460931 was issued on 2007-01-09.
On what date did the Centers for Medicare & Medicaid Services issue the 1053460931 to Kelley J Gannon?
The Kelley J Gannon received its 1053460931 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the Kelley J Gannon's information last updated?
The Kelley J Gannon's information was last updated on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY