Individual
IVA ALLISON GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
915 LEAWOOD DR STE C, FRANKFORT, KY 40601-7776
(859) 559-0279
(502) 470-5752
Mailing address
1925 TIMBER CREEK RD, LAWRENCEBURG, KY 40342-9429
(859) 329-9440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171940
KY
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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