Individual
JEANNE RENEE LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
830 N OUIDA ST, ENTERPRISE, AL 36330-2704
(334) 494-0977
(334) 475-2760
Mailing address
203 FAIRFIELD DR, ENTERPRISE, AL 36330-7003
(334) 494-0977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04673
AL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/24/2018
Last updated
05/31/2024
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