Individual
LAUREL OLIVIA YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3843 BLUE BONNET DR, LEXINGTON, KY 40514-1612
(859) 967-6302
Mailing address
3843 BLUE BONNET DR, LEXINGTON, KY 40514-1612
(859) 967-6302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
266076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12072
MUSIC THERAPIST BOARD CERTIFICATION
—
01
—
266076
LICENSED PROFESSIONAL COUNSELOR ASSOCIATE LICENSE NUMBER
KY
Enumeration date
07/18/2022
Last updated
06/24/2025
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