Individual
BRANDY HEAVRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1106 TUNNEL HILL RD # 100, ELIZABETHTOWN, KY 42701-8067
(270) 765-2335
Mailing address
1106 TUNNEL HILL RD # 100, ELIZABETHTOWN, KY 42701-8067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
248540
KY
Other
Enumeration date
06/16/2016
Last updated
09/10/2019
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