Individual
PHYLLIS K LONNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1464
(270) 312-2860
(270) 312-2860
Mailing address
202 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1441
(270) 312-2860
(270) 765-2166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
173148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173148
COMMONWEALTH OF KY
KY
Enumeration date
08/30/2017
Last updated
01/24/2018
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