Individual
KELCIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPAT
Contact information
Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(812) 719-5300
Mailing address
7709 SIERRA TRL, LOUISVILLE, KY 40214-4634
(812) 719-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
277306
KY
221700000X
Art Therapist
Primary
277306
KY
Other
Enumeration date
07/12/2024
Last updated
08/28/2024
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