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Organization

MHJM COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRAN H MCCLENDON LPCC, LCADC (OWNER)
(502) 819-3138
Entity
Organization

Contact information

Practice address
4122 WAHL STREET BLVD STE 15, LOUISVILLE, KY 40218-3265
(502) 640-9486
Mailing address
12468 LA GRANGE RD # 322, LOUISVILLE, KY 40245-1901
(502) 819-3138
(502) 640-9486

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/03/2023
Last updated
07/25/2024
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