Individual
LESLEY PAIGE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
(502) 894-0234
Mailing address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
3959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164740
LCADC
KY
01
—
3959
LCSW
KY
Enumeration date
07/15/2019
Last updated
07/15/2019
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