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Jana Sullivan
Professional Counselor in Louisa, Kentucky
NPI 1770160012

Jana Sullivan is a Professional Counselor based in Louisa, KY and is specialized in Professional. Jana Sullivan practices in Louisa, KY. The NPI Number for Jana Sullivan is 1770160012 and holds a License No. 171116 (Kentucky).

The current practice location address for Jana Sullivan is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938.

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770160012
Provider Name
Jana Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
284751 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
171116 (Kentucky)
Definition
Definition to come...
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