Individual
MICHELLE M LANDENWITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, M.ED, ED.S,
Contact information
Practice address
12885 FROGTOWN CONNECTOR RD, WALTON, KY 41094-8391
(859) 360-1044
Mailing address
12885 FROGTOWN CONNECTOR RD, WALTON, KY 41094-8391
(859) 360-1044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1233
KY
101YM0800X
Mental Health Counselor
Primary
1233
KY
Other
Enumeration date
01/31/2011
Last updated
10/09/2018
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