Individual
RUBEN PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
4400 BRECKENRIDGE LN STE 126, LOUISVILLE, KY 40218-4082
(502) 493-7794
(502) 493-7795
Mailing address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 583-3951
(502) 581-9234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADCLAD00166934
KY
Other
Enumeration date
11/19/2013
Last updated
02/14/2019
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