Individual
LISA MICHELLE SUNSHINE CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, LPCC
Contact information
Practice address
55 CAL HILL SPUR, PINE KNOT, KY 42635-9194
(606) 376-9355
Mailing address
PO BOX 302, PINE KNOT, KY 42635-0302
(606) 310-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168351
KY
101YM0800X
Mental Health Counselor
288968
KY
Other
Enumeration date
12/29/2021
Last updated
03/03/2025
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