Individual
REBECCA A STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8134 NEW LA GRANGE RD STE 102, LOUISVILLE, KY 40222-4677
(502) 200-8965
Mailing address
8134 NEW LA GRANGE RD STE 102, LOUISVILLE, KY 40222-4677
(502) 200-8965
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
245930
KY
106H00000X
Marriage & Family Therapist
85000303A
IN
Other
Enumeration date
01/24/2019
Last updated
08/04/2023
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