Organization
KEPHRI COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIA N GONZALEZ LMFT (OWNER)
(502) 210-8308
Entity
Organization
Contact information
Practice address
2843 BROWNSBORO RD STE 100, LOUISVILLE, KY 40206-1274
(502) 210-8308
Mailing address
2843 BROWNSBORO RD STE 100, LOUISVILLE, KY 40206-1274
(502) 210-8308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100472130
—
KY
Enumeration date
05/23/2019
Last updated
05/23/2019
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