Individual
RAYMOND THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADCA
Contact information
Practice address
2515 7TH STREET RD STE 2, LOUISVILLE, KY 40208-1070
(502) 281-7697
(502) 234-1973
Mailing address
165A CALDWELL AVE, BARDSTOWN, KY 40004-2719
(502) 407-6650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
275761
KY
101YM0800X
Mental Health Counselor
275761
KY
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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