Individual
DEENIE PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
(502) 222-2389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
287826
KY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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