Provider Demographics
NPI:1760415962
Name:LARUSCH, JOYCE LEE (MED, LPCC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LEE
Last Name:LARUSCH
Suffix:
Gender:F
Credentials:MED, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 PARKERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-3215
Mailing Address - Country:US
Mailing Address - Phone:606-425-8644
Mailing Address - Fax:
Practice Address - Street 1:974 PARKERS MILL RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3215
Practice Address - Country:US
Practice Address - Phone:606-425-8644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0240101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional