Individual
EMILY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
(502) 451-0896
Mailing address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 451-5177
(502) 451-0896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1614
KY
101YM0800X
Mental Health Counselor
Primary
1614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740554864
—
KY
05
—
7100254660
—
KY
05
—
7100254670
—
KY
05
—
7100254680
—
KY
05
—
7100254690
—
KY
Enumeration date
02/22/2011
Last updated
06/04/2014
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