| Brennan Vallencourt, | |
|
325 Professional Ave, Winchester, KY 40391-1179 | |
| (859) 744-2562 | |
| Not Available |
| Full Name | Brennan Vallencourt |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 325 Professional Ave, Winchester, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801298559 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | KY1695 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brennan Vallencourt, 650 S Mill St, Apt. 313, Lexington, KY 40508-2983 Ph: (904) 309-2700 | Brennan Vallencourt, 325 Professional Ave, Winchester, KY 40391-1179 Ph: (859) 744-2562 |
Cynthia Louise Whiteside, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 | |
Mrs. Michelle D Sames, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Broadway St, Winchester, KY 40391 Phone: 859-385-4669 Fax: 859-201-1450 | |
Jacob Hurd, Counselor Medicare: Medicare Enrolled Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 Fax: 859-201-1450 | |
Sarah Slone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Waveland Ave, Winchester, KY 40391 Phone: 855-584-5845 | |
Taria Booker, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Bypass Rd, Winchester, KY 40391 Phone: 859-398-3725 | |
Lisa Jeanell Taylor, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 9 Waveland Ave, Winchester, KY 40391 Phone: 877-823-8375 | |
William Derenge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 |