Individual
MR. JAMES LATROY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 SOUTHVIEW RD, LOUISVILLE, KY 40214
(502) 905-8335
Mailing address
927 SOUTHVIEW RD, LOUISVILLE, KY 40214-3413
(502) 905-8335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0114
KY
101YP2500X
Professional Counselor
Primary
173071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173071
KENTUCKY BOARD OF COUNSELING
KY
Enumeration date
06/12/2007
Last updated
07/26/2018
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