Individual
MARY LUKE NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
700 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1643
(025) 686-7585
Mailing address
700 E. MUHAMMAD ALI BLVD., LOUISVILLE, KY 40202
(502) 568-6758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
06/29/2022
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