Individual
KACIE M CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
(502) 451-1337
Mailing address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
(502) 451-1337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301792
KY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
02/18/2026
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