Michelle M Landenwitch, LPCC, M.Ed, Ed.S,
Counselor, Mental Health in Walton, KY. Individual provider (NPI-1).
NPI number1881990489
StatusActive
Last updated in NPPESOct 9, 2018
Details
- NPI
- 1881990489
- Entity type
- Individual (NPI-1)
- Name
- Michelle M Landenwitch
- Credential
- LPCC, M.Ed, Ed.S,
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2011
- Last updated
- Oct 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 1233 | KY | Yes |
| 101Y00000X | Counselor | 1233 | KY |
Practice location
12885 Frogtown Connector RdWalton, KY 41094-8391
Phone 859-360-1044
Mailing address
12885 Frogtown Connector RdWalton, KY 41094-8391
Phone 859-360-1044
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