Organization
LIFEWISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ANDERSON PSYD, LPCC (PRESIDENT)
(502) 426-1616
Entity
Organization
Contact information
Practice address
2009 GLENVIEW AVE, LOUISVILLE, KY 40222-6345
(502) 426-1616
(502) 290-8889
Mailing address
2009 GLENVIEW AVE, LOUISVILLE, KY 40222-6345
(502) 426-1616
(502) 290-8889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0222
KY
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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