Individual
MRS. ALISHA MARIE JOHNSON DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW/MFT
Contact information
Practice address
4934 BROWNSBORO ROAD, SUITE-PATHWAYS3, LOUISVILLE, KY 40222
(502) 509-5638
Mailing address
PO BOX 45, NEW ALBANY, IN 47151-0045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10-42
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2009
Last updated
09/14/2012
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