JEFFREY WADDLE


Address: 1016 Thurman Rd, Somerset, KY 42503-3555
Phone: 6068020977

JEFFREY WADDLE (NPI# 1164956223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164956223
Entity Type Individual
Full Name JEFFREY WADDLE
Credential M.A., L.P.C.C.
Practice Address 1016 Thurman Rd
Somerset
KY 42503-3555
Practice Telephone 6068020977
Mailing Telephone 6068020977
Enumeration Date 2017-04-16
Last Update Date 2017-04-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
104133 KY Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
104133 KY Behavioral Health & Social Service Providers

Office Location

Street Address 1016 THURMAN RD
City SOMERSET
State KY
Zip Code 42503-3555

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1811356892 Lake Cumberland Physician Practices, LLC Nurse Practitioner 27 Imaging Dr, Suite B, Somerset, KY 42503 2016-02-18
1730586447 Amy Molen Counselor 259 Parkers Mill Road, Somerset, KY 42503 2014-11-24
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1881978807 Nathan S Fisher Counselor 600 Clifty St Ste 2, Somerset, KY 42503 2011-10-10
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457916264 Heather E Revill Counselor 98 Fair Dr, Somerset, MA 02726-5926 2019-05-07
1467911172 Kaley Flynn Counselor 205 E Mount Vernon St, Somerset, KY 42501-1412 2019-03-13
1598241259 Tammy Lynn Schaale Counselor 175 Blackjack Trail, Somerset, TX 78069-7806 2018-07-16
1578066635 Tracy Colleen Mcquarter Counselor 600 Monticello St, Somerset, KY 42501-2974 2018-03-15
1962923193 Luis R. Esparza Counselor 93 Village Dr, Somerset, TX 78069-3951 2017-06-28
1023550712 Nicole Schlett Counselor 48 Norma Ave Apt 3c, Somerset, NJ 08873-3156 2016-11-10
1669925301 Amy Ruggirello Counselor 107 Cedar Grove Ln Ste 104, Somerset, NJ 08873-4719 2016-07-29
1770940611 Corna Rutherford Counselor 4341 S Highway 27, Somerset, KY 42501-6105 2016-01-22
1013382142 Susan Kimmel Counselor Georgian Place, Suite 309, Somerset, PA 15501 2015-12-01
1245613157 Sonya Johnson Counselor 6 Ronald Dr, Somerset, NJ 08873-5134 2015-07-09
Find all providers in SOMERSET

Competitor

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City SOMERSET
Zip Code 42503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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