Individual
LISA STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
60 BENNETT CIR, LONDON, KY 40741-2842
(606) 594-7479
(606) 658-9775
Mailing address
60 BENNETT CIR, LONDON, KY 40741-2842
(606) 594-7479
(606) 658-9775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
287830
KY
Other
Enumeration date
11/02/2023
Last updated
05/28/2024
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