Individual
HALEY ROSE LAUTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
9234 WENDELL CIR APT 34, JEFFERSONTOWN, KY 40299-1647
(502) 435-1256
Mailing address
9234 WENDELL CIR APT 34, JEFFERSONTOWN, KY 40299-1647
(502) 396-8392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287756
KY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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