Individual
MISTI POWELL EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1028 MAIN ST, SHELBYVILLE, KY 40065-1315
(502) 647-2477
Mailing address
104 OXFORD PL, LOUISVILLE, KY 40207-2922
(502) 819-9001
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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