Individual
MISS AYSHA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8134 NEW LAGRANGE ROAD, SUITE 100, LOUISVILLE, KY 40222-4022
(502) 472-7293
(502) 690-4500
Mailing address
5154 VEACH RD, OWENSBORO, KY 42303-9419
(127) 031-5248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
288480
KY
Other
Enumeration date
06/15/2022
Last updated
12/20/2023
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