Ison, Chassidy

Ison, Chassidy is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ison, Chassidy can be contacted via phone (606) 784-4161.

Contact Information

Primary practice address
321 E Main St Morehead KY 40351-1671
Phone: (606) 784-4161
Fax: (606) 783-9952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X UNLICENSED
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSYPAS00220824 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 264783 Kentucky

Profile Details

NPI number 1447664479
LBN Legal business name Ison, Chassidy
Credentials LPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Nov 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447664479 NPPES
Kentucky MEDICAID 30610026

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