Individual
ASHLEY MICHELLE LATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 434-5566
(502) 434-5567
Mailing address
818 RIVER CREST DR # F1, LOUISVILLE, KY 40206-3207
(502) 936-3702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
289292
KY
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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