Individual
ALICE WILLIAMSON CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1228 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-2196
(502) 459-9455
Mailing address
1228 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-2196
(502) 459-9455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165279
KY
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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