Provider Demographics
NPI:1851176010
Name:TICHENOR, BRITTNI RENEE (LPCA)
Entity Type:Individual
Prefix:
First Name:BRITTNI
Middle Name:RENEE
Last Name:TICHENOR
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:KUTTAWA
Mailing Address - State:KY
Mailing Address - Zip Code:42055-0250
Mailing Address - Country:US
Mailing Address - Phone:270-601-4235
Mailing Address - Fax:270-350-4235
Practice Address - Street 1:1840 LANTAFF BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-9403
Practice Address - Country:US
Practice Address - Phone:270-601-4235
Practice Address - Fax:270-350-4673
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY283889101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor