Healthcare Provider Details

I. General information

NPI: 1194301291
Provider Name (Legal Business Name): KATHY JOY DAUGHERTY TURNER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 03/20/2021
Certification Date: 03/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 CRAB ORCHARD RD
SOMERSET KY
42503-1349
US

IV. Provider business mailing address

PO BOX 69
SCIENCE HILL KY
42553-0069
US

V. Phone/Fax

Practice location:
  • Phone: 606-485-4673
  • Fax: 606-485-4600
Mailing address:
  • Phone: 606-875-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number104729
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: