Layne, Connie M

Layne, Connie M is an individual health care provider with primary practice located at 237 E 6Th St , Russellville KY 42276-1917. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Layne, Connie M can be contacted via phone (270) 726-3629.

Contact Information

Primary practice address
237 E 6Th St Russellville KY 42276-1917
Phone: (270) 726-3629
Fax: (270) 726-3620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0749 Kentucky

Profile Details

NPI number 1982720736
LBN Legal business name Layne, Connie M
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Sep 22nd, 2010 - about 15 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 1982720736 NPPES
Kentucky MEDICAID 30604011

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