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Individual

LARISSA VIVIAN SALYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LCADC

Contact information

Practice address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Mailing address
401 E CHESTNUT ST UNIT 600, LOUISVILLE, KY 40202-5705
(502) 588-4425
(502) 588-4427

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
165123
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166387
KY

Other

Enumeration date
01/25/2016
Last updated
12/27/2019
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