Individual
KYLE ANTHONY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
307 MCCREADY AVE, LOUISVILLE, KY 40206-2751
(502) 693-9722
Mailing address
307 MCCREADY AVE, LOUISVILLE, KY 40206-2751
(502) 693-9722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
272707
KY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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