Individual
LEAH NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
714 LYNDON LN, SUITE 1, LOUISVILLE, KY 40222-4643
(502) 426-2777
(502) 426-2776
Mailing address
714 LYNDON LN, SUITE 1, LOUISVILLE, KY 40222-4643
(502) 426-2777
(502) 426-2776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0773
KY
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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