Doctor Name: | MISTY COMER |
NPI Number: | 1063647162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 1505 |
Business Practice Address: | 118 River Dr Pikeville, KY - 415011597 |
Business Phone Number: | 6064323143 |
Business Fax Number: | 6064375412 |
Mailing Address: | 104 S Front Ave, PRESTONSBURG |
State: | KY |
Postal Code: | 416531614 |
Phone Number: | 6068868572 |
Fax Number: | 6068864433 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |