Individual
LACY UKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Mailing address
2400 MELLWOOD AVE APT 119, LOUISVILLE, KY 40206-1062
(636) 627-8324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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