Individual
OLIVER JAMES MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
(502) 873-4472
Mailing address
8317 CABIN HILL RD, LOUISVILLE, KY 40291-2564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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