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Leann Detherage, LPCA
Psychiatric/Mental Health Nurse Practitioner in Loretto, Kentucky
NPI 1477886380

Leann Detherage is a Psychiatric/Mental Health Nurse Practitioner based in Loretto, KY and is specialized in Psychiatric/Mental Health. Leann Detherage practices in Loretto, KY and has the professional credentials of LPCA. The NPI Number for Leann Detherage is 1477886380 and holds a License No. KY-0911 (Kentucky).

The current practice location address for Leann Detherage is 3244 Wimsatt Road, Loretto, KY and can be reached out via phone at 270-699-1811.

Location: 3244 Wimsatt Road, Loretto, KY, 40037-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477886380
Provider Name
Leann Detherage
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
3244 Wimsatt Road, Loretto, KY, 40037-0105
Phone Number
270-699-1811
Fax Number
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3244 Wimsatt Road
City
Loretto
State
Kentucky
Zip
40037
Phone Number
270-699-1811
Fax Number
person
Provider Business Mailing Address Details
Address
3244 Wimsatt Road
City
Loretto
State
Kentucky
Zip
40037
Phone Number
270-699-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6254P (Kentucky)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
KY-0911 (Kentucky)
Definition
Definition to come...
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