Individual
MORIAH LECORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5204 MATTERHORN CT, LOUISVILLE, KY 40216-1870
(502) 600-1407
Mailing address
5204 MATTERHORN CT, LOUISVILLE, KY 40216-1870
(502) 600-1407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261257
KY
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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