Individual
ALICIA M DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
3900 RIVEROAKS LN, LOUISVILLE, KY 40241
(502) 322-6456
Mailing address
3900 RIVEROAKS LN, LOUISVILLE, KY 40241-2031
(502) 322-6456
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2012-004
KY
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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