BRENNAN VALLENCOURT NPI 1801298559

NPI Information

NPI: 1801298559
Provider Name: BRENNAN VALLENCOURT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
325 PROFESSIONAL AVE
WINCHESTER, KY
ZIP 40391
Phone: (859) 744-2562
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Brennan Vallencourt is an addiction (substance use disorder) counselor in Winchester, KY. Brennan Vallencourt NPI is 1801298559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 PROFESSIONAL AVE
WINCHESTER, KY
ZIP 40391-179
Phone: (859) 744-2562

The enumeration date for this NPI number is 9/24/2014 and was last updated on 10/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	KY1695	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790731081	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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