Organization
A A AND ASSOCIATES APPROVED ALCOHOL/DRUG PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON L. NANNY (ADMINISTRATOR)
(502) 896-6900
Entity
Organization
Contact information
Practice address
4006 DUTCHMANS LANE, LOUISVILLE, KY 40207
(502) 896-6900
(502) 896-8607
Mailing address
4006 DUTCHMANS LANE SUITE 200, LOUISVILLE, KY 40207
(502) 896-6900
(502) 896-8607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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