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Brennan Vallencourt
Addiction (Substance Use Disorder) Counselor in Winchester, Kentucky
NPI 1801298559

Brennan Vallencourt is an Addiction (Substance Use Disorder) Counselor based in Lexington, KY and is specialized in Addiction (Substance Use Disorder). Brennan Vallencourt practices in Winchester, KY. The NPI Number for Brennan Vallencourt is 1801298559 and holds a License No. KY1695 (Kentucky).

The current practice location address for Brennan Vallencourt is 325 Professional Ave, Winchester, KY and can be reached out via phone at 859-744-2562.

Location: 325 Professional Ave, Winchester, KY, 40508-2983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801298559
Provider Name
Brennan Vallencourt
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 Professional Ave, Winchester, KY, 40508-2983
Phone Number
859-744-2562
Fax Number
Provider Enumeration Date
09/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790731081 05 KY
institution
Provider Business Practice Location Address Details
Address
325 Professional Ave
City
Winchester
State
Kentucky
Zip
40391-1179
Phone Number
859-744-2562
Fax Number
person
Provider Business Mailing Address Details
Address
325 Professional Ave
City
Winchester
State
Kentucky
Zip
40391-1179
Phone Number
859-744-2562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
KY1695 (Kentucky)
Definition
Definition to come...
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