Individual
TRACY JANE LENAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
30 STONECREST CT STE 100, SHELBYVILLE, KY 40065-8128
(502) 437-0859
Mailing address
5502 HIGHPOINT DR, CRESTWOOD, KY 40014-9293
(210) 601-1687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
240037
KY
101YM0800X
Mental Health Counselor
Primary
266439
KY
Other
Enumeration date
02/21/2018
Last updated
10/29/2020
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