Individual
CHARLES ROBERT LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LMHC, LMFT
Contact information
Practice address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Mailing address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002436A
IN
101YP1600X
Pastoral Counselor
—
KY
106H00000X
Marriage & Family Therapist
0725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766233
ANTHEM
IN
Enumeration date
04/25/2007
Last updated
04/30/2015
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