Individual
MINDY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
224 BRECKENRIDGE LN, SUITE A, LOUISVILLE, KY 40207-3859
(502) 558-6784
Mailing address
224 BRECKENRIDGE LN, SUITE A, LOUISVILLE, KY 40207-3859
(502) 558-6784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY-1073
KY
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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