Provider Demographics
NPI:1174912976
Name:SINGLETON, VERONICA JO (MA LPCA)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:JO
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MA LPCA
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:J
Other - Last Name:RIBULOTTA SINGLETON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LPCA
Mailing Address - Street 1:220 FRANKFORT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1079
Mailing Address - Country:US
Mailing Address - Phone:859-753-7196
Mailing Address - Fax:859-214-4498
Practice Address - Street 1:220 FRANKFORT ST STE 1
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383
Practice Address - Country:US
Practice Address - Phone:859-753-7196
Practice Address - Fax:859-214-4498
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
KY172276101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health