| Doctor Name: | JANNA DONOVAN |
| NPI Number: | 1003178864 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 165929 |
| Business Practice Address: | 4229 Bardstown Rd Suite 311 Louisville, KY - 402183241 |
| Business Phone Number: | 5024998010 |
| Business Fax Number: | |
| Mailing Address: | 4229 Bardstown Rd, Suite 311 LOUISVILLE |
| State: | KY |
| Postal Code: | 402183241 |
| Phone Number: | 5024998010 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2012 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 165929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |