A NEW ORDER

NPI: 1629753835 · Organization · Active

Primary Specialty

Professional Counselor
Counselor — Professional

Practice Location

4335 HAZELWOOD AVE
LOUISVILLE, KY 40215-1111 Map ↗
Phone: 502-618-0397

All Specialties & Licenses

  • Professional Counselor Primary — Professional

NPI Registration

Enumerated: 2023-06-16

Last CMS Update: 2023-06-16