Individual
NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
4010 DUPONT CIR STE 403, LOUISVILLE, KY 40207-4837
(502) 825-1375
Mailing address
4010 DUPONT CIR STE B-173, LOUISVILLE, KY 40207-4812
(502) 825-1375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275068
KY
101YP2500X
Professional Counselor
261631
KY
Other
Enumeration date
07/07/2021
Last updated
06/07/2024
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