Individual
MISS ALYSSA P. VITALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
460 WILSON AVE, VERSAILLES, KY 40383-1947
(859) 753-6626
(859) 787-0552
Mailing address
411 RYNE CT, VERSAILLES, KY 40383-1390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
247039
KY
101YM0800X
Mental Health Counselor
247039
KY
101YP2500X
Professional Counselor
Primary
247039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247039
LPCC
KY
Enumeration date
09/28/2015
Last updated
06/17/2022
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