Individual
MS. CAROL AYN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ART
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1575
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100287650
—
KY
Enumeration date
02/20/2008
Last updated
10/08/2015
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