Individual
JAMI IRVINE-SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(812) 248-9206
Mailing address
7002 URANUS DR, LOUISVILLE, KY 40258-3455
(502) 714-8805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
257951
KY
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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