Individual
JANA EICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8521 LAGRANGE RD, LOUISVILLE, KY 40242-3800
(502) 814-3573
(502) 814-7575
Mailing address
PO BOX 221676, LOUISVILLE, KY 40252-1676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
948
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077349
BLUE CROSS
KY
Enumeration date
08/25/2006
Last updated
10/31/2007
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