Individual
ANGELICA STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8149 NEW LA GRANGE RD STE 201, LOUISVILLE, KY 40222-4689
(502) 915-0062
Mailing address
11318 CORTNER RD, MARYSVILLE, IN 47141-9726
(502) 541-5205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
289022
KY
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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