Individual
ALYSSA MAY TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
389 WALLER AVE FL 2, LEXINGTON, KY 40504-2900
(859) 309-2384
Mailing address
405 W THIRD ST APT 2, LEXINGTON, KY 40508-1744
(859) 433-3575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
253911
KY
101YM0800X
Mental Health Counselor
Primary
253911
KY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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