Individual
MICHAEL PEDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1103 DELOR AVE, LOUISVILLE, KY 40217-2226
(502) 813-9570
Mailing address
PO BOX 17354, LOUISVILLE, KY 40217-0354
(502) 813-9570
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
248063
KY
101YP2500X
Professional Counselor
LPCCCA00216616
KY
Other
Enumeration date
02/05/2015
Last updated
05/17/2022
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