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Organization

WILLOW OAK COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBEKAH BURKE COTTLE LMFT (MEMBER)
(502) 882-0225
Entity
Organization

Contact information

Practice address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 882-0225
Mailing address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 882-0225

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFTMFT00223555
KY
251S00000X
Community/Behavioral Health Agency
MFTMFT00223555
KY

Other

Enumeration date
12/09/2015
Last updated
01/02/2016
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