Healthcare Provider Details

I. General information

NPI: 1043585102
Provider Name (Legal Business Name): VANESSA MAE INGLE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 US -60 STE A
ASHLAND KY
41102
US

IV. Provider business mailing address

6341 STATE HIGHWAY 2
OLIVE HILL KY
41164-8684
US

V. Phone/Fax

Practice location:
  • Phone: 606-240-3344
  • Fax:
Mailing address:
  • Phone: 606-240-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number286395
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: