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Individual

MICHAEL DAVID RANKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2303 HURSTBOURNE VILLAGE DR, STE 1100, LOUISVILLE, KY 40299-1830
(502) 494-2929
(502) 267-7686
Mailing address
2303 HURSTBOURNE VILLAGE DR STE 1100, LOUISVILLE, KY 40299-1830
(502) 494-2929
(502) 267-7686

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0443
KY
106H00000X
Marriage & Family Therapist
Primary
0209
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0209
LMFT
KY
01
0443
ALCOHOL & DRUG COUNSELOR
KY
Enumeration date
08/31/2006
Last updated
09/10/2014
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