Provider Demographics
NPI:1952346462
Name:NAFUS, ERIN MICHELLE (MS, LPCC-S)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:NAFUS
Suffix:
Gender:F
Credentials:MS, LPCC-S
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:KILPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPCC
Mailing Address - Street 1:432B GLENVIEW CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3339
Mailing Address - Country:US
Mailing Address - Phone:502-440-7932
Mailing Address - Fax:
Practice Address - Street 1:1717 MADISON AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-3330
Practice Address - Country:US
Practice Address - Phone:859-360-0250
Practice Address - Fax:859-261-0801
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100289220OtherMEDICAID ID
KY610707125OtherTAX ID
KY610707125OtherTAX ID