Provider Demographics
NPI:1629513890
Name:COTTRELL, JANET M (LPC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:COTTRELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WIND HAVEN DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8035
Mailing Address - Country:US
Mailing Address - Phone:859-277-0077
Mailing Address - Fax:859-277-0077
Practice Address - Street 1:101 WIND HAVEN DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8035
Practice Address - Country:US
Practice Address - Phone:859-277-0077
Practice Address - Fax:859-277-0077
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171182101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral