Individual
RICKI MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPCA
Contact information
Practice address
3221 GOLDTREE CT, LOUISVILLE, KY 40220-3307
(502) 296-9467
Mailing address
3221 GOLDTREE CT, LOUISVILLE, KY 40220-3307
(502) 296-9467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
281626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030187
—
KY
05
—
7100948220
—
KY
Enumeration date
02/15/2017
Last updated
03/27/2024
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