Individual
ETHAN BERNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 SHINING WATER DR APT 301, LOUISVILLE, KY 40299-6940
(502) 689-6300
Mailing address
2604 SHINING WATER DR APT 301, LOUISVILLE, KY 40299-6940
(502) 689-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287692
KY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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