Individual
MARISSA LORYNN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2536 DANIELLE LN, LEXINGTON, KY 40509-4151
(304) 812-7728
Mailing address
2536 DANIELLE LN, LEXINGTON, KY 40509-4151
(304) 812-7728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
282797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282797
KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY
Enumeration date
01/24/2023
Last updated
01/24/2023
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