Individual
DENISE LYNN POUKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
(812) 206-1213
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000857A
IN
101YM0800X
Mental Health Counselor
Primary
39000524A
IN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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