Provider Demographics
NPI:1922155019
Name:HOLLAND-CUNDIFF, LETITIA (LPCC-S)
Entity type:Individual
Prefix:
First Name:LETITIA
Middle Name:
Last Name:HOLLAND-CUNDIFF
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:LETITIA
Other - Middle Name:
Other - Last Name:CUNDIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3044
Mailing Address - Street 2:
Mailing Address - City:WEST SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42564-3044
Mailing Address - Country:US
Mailing Address - Phone:606-687-2038
Mailing Address - Fax:606-200-3654
Practice Address - Street 1:200 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-2419
Practice Address - Country:US
Practice Address - Phone:606-687-2038
Practice Address - Fax:606-200-3654
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2024-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0325101YM0800X
KYKY-0325101YM0800X
KY104788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health