Individual
HENRY GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00216399
KY
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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