Provider Information for 1942738349
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NIKKI LEE LAYNE LPCC
Sex: Female
NPI: 1942738349
Last Updated: 2025-01-15
Certification Date: 2025-01-15
Certification Date: 2025-01-15
Details
Name | Value | ||||||||||||
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NPI | 1942738349 | ||||||||||||
Enumeration Date | 2017-05-30 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 9 MAYKING, KY 41837-0009 United States Phone: 606-658-0710 | Fax:606-658-0720 | ||||||||||||
Primary Practice Address | PO BOX 9 MAYKING, KY 41837-0009 United States Phone: 606-658-0710 | Fax:606-658-0720 | ||||||||||||
Secondary Practice Address(es) | 104 S FRONT AVE 125 S MAIN CROSS ST | ||||||||||||
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