Individual
MS. AMY S MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.DIV, M.A.M.F.T.
Contact information
Practice address
4010 DUPONT CIR STE 582, LOUISVILLE, KY 40207-4888
(502) 899-5477
Mailing address
2431 N PETERSON CT, LOUISVILLE, KY 40206-2367
(502) 457-7579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
173338
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173338
PRACTICE LICENSE
KY
Enumeration date
07/03/2017
Last updated
07/03/2017
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