Individual
MIKAYLA V ILEGOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S ALVES ST, HENDERSON, KY 42420-4016
(317) 698-6901
Mailing address
623 BARRET BLVD APT J, HENDERSON, KY 42420-4970
(317) 698-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
KY
101YS0200X
School Counselor
Primary
—
KY
103K00000X
Behavior Analyst
—
KY
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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