Individual
LYNNSEY KAITLIN VANDEVENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
2048 MAIN STREET, WILLISBURG, KY 40078
(270) 250-2927
Mailing address
265 NATURES WAY, CAMPBELLSVILLE, KY 42718-9434
(270) 250-0927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
270314
KY
Other
Enumeration date
07/01/2021
Last updated
11/01/2022
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