Individual
SAVANNAH ALYSE MARTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
190 W LOWRY LN STE 200, LEXINGTON, KY 40503-3025
(859) 277-0099
Mailing address
4900 DENMOOR CT, LEXINGTON, KY 40513-1436
(859) 351-5474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
267799
KY
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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