Individual
GARY LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, CADC
Contact information
Practice address
800 CARDINAL DR, STE. 201, ELIZABETHTOWN, KY 42701-3902
(270) 769-3445
Mailing address
800 CARDINAL DR, STE. 201, ELIZABETHTOWN, KY 42701-3902
(270) 769-3445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0436
KY
106H00000X
Marriage & Family Therapist
0485
KY
Other
Enumeration date
10/21/2005
Last updated
09/11/2025
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