Individual
TATIANA SARDUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
1017 ELAINE DR, LOUISVILLE, KY 40219-4905
(502) 210-6548
Mailing address
1017 ELAINE DR, LOUISVILLE, KY 40219-4905
(502) 210-6548
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MATS-168
IN
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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