Individual provider · Type 1 NPI

Jeanne Renee Lively, LPC

Professional Counselor · Enterprise, AL

NPI number 1962979302 Active

Practice location

830 N Ouida St
Enterprise, AL 36330-2704

Call (334) 494-0977 Map

Fax (334) 475-2760

Mailing address

203 Fairfield Dr
Enterprise, AL 36330-7003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500XLPC04673 (AL)

Professional Counselor: Definition to come...

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About NPI 1962979302

Jeanne Renee Lively, LPC's National Provider Identifier is 1962979302, issued on Oct 24, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Enterprise, AL. The record was last updated on May 31, 2024.