Mary June Kubach in Prestonsburg - Clinical
Mary June Kubach - NPI 1619059623
Mary June Kubach is a Clinical in Prestonsburg, Kentucky. Mary June Kubach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary June Kubach is 1619059623. The last update date is 2016-05-31.
Mary June Kubach's current location address is 104 S Front Ave, Prestonsburg, Kentucky. You can contact this provider via phone number 6068868572 and fax number 6068864433. The mailing address for Mary June Kubach is 104 S Front Ave, Prestonsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary June Kubach |
|---|---|
| Address | 104 S Front Ave, Prestonsburg, Kentucky |
| Phone Number | 6068868572 |
| Fax Number | 6068864433 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619059623 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2016-05-31 |
Provider Mailing Address Detail
| Address | 104 S Front Ave |
|---|---|
| City | Prestonsburg |
| State | Kentucky (KY) |
| Post Code | 416531614 |
| Phone Number | 6068868572 |
| Fax Number | 6068864433 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3017 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 211005 | KY | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary June Kubach?
The Mary June Kubach has been issued the NPI (National Provider Identifier) 1619059623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mary June Kubach's physical address?
The Mary June Kubach is physically located at 104 S Front Ave, in the city of Prestonsburg, KY, with the postal code 416531614.
What is Mary June Kubach's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary June Kubach is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Mary June Kubach's 1619059623 issued?
The Mary June Kubach's 1619059623 was issued on 2006-10-19.
When was the information pertaining to Mary June Kubach most recently updated or revised?
The details related to Mary June Kubach, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-31.