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Organization

PEMBERTON COUNSELING SERVICES, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES PEMBERTON JR. ED.D. (PRESIDENT)
(502) 327-8045
Entity
Organization

Contact information

Practice address
1700 UPS DR, SUITE 107, LOUISVILLE, KY 40223-4046
(502) 327-8045
Mailing address
1700 UPS DR, SUITE 107, LOUISVILLE, KY 40223-4046
(502) 327-8045

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0549
KY

Other

Enumeration date
04/17/2007
Last updated
08/22/2020
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