Individual
CHARITY NICOLE GAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 4TH ST, LOUISVILLE, KY 40202-3426
(502) 585-9911
Mailing address
401 S 4TH ST, LOUISVILLE, KY 40202-3426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
290665
KY
Other
Enumeration date
04/13/2021
Last updated
07/01/2024
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