Individual
MOLLY ELIZABETH FITZGERALD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
350 EVERGREEN RD, LOUISVILLE, KY 40243-1010
(502) 252-1285
Mailing address
350 EVERGREEN RD, LOUISVILLE, KY 40243-1010
(502) 252-1285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
173595
KY
101YM0800X
Mental Health Counselor
Primary
269904
KY
221700000X
Art Therapist
173562
KY
Other
Enumeration date
06/24/2020
Last updated
11/07/2022
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