Individual
ASHLEE BROOKE COLVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
13121 ESAT POINT PARK BLVD, SUITE F, LOUISVILLE, KY 40223
(502) 612-9129
Mailing address
1728 SHADY LN, LOUISVILLE, KY 40205-1037
(502) 612-9129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
244758
KY
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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