Individual
LEANNE C UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2606
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
172612
KY
101YM0800X
Mental Health Counselor
Primary
172612
KY
Other
Enumeration date
06/21/2017
Last updated
11/03/2020
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