person
Ms. Jeanne Louise Staivisky, CAS,MAC,LPC,LMHC
Professional Counselor in Fort Campbell, Kentucky
NPI 1487620225

Jeanne Louise Staivisky is a Professional Counselor based in Fort Campbell, KY and is specialized in Professional. Jeanne Louise Staivisky practices in Fort Campbell, KY and has the professional credentials of CAS,MAC,LPC,LMHC. The NPI Number for Jeanne Louise Staivisky is 1487620225 and holds a License No. 39000646A (Kentucky).

The current practice location address for Jeanne Louise Staivisky is Blanchfield Army Community Hospital, Fort Campbell, KY and can be reached out via phone at 270-798-8372 and via fax at 270-956-0180.

Location: Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
person
Provider Profile Details
NPI Number
1487620225
Provider Name
Jeanne Louise Staivisky
Credential
CAS,MAC,LPC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Blanchfield Army Community Hospital
City
State
Zip
42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
person
Provider Business Mailing Address Details
Address
Blanchfield Army Community Hospital
City
State
Zip
42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
39000646A (Indiana)
Definition
Definition to come...
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