Individual
MRS. DEIRDRE BIANCA CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPCA, JD
Contact information
Practice address
104 DAVENTRY LANE, LOUISVILLE, KY 40223-3845
(502) 425-7325
(502) 429-7246
Mailing address
104 DAVENTRY LANE, LOUISVILLE, KY 40223-3845
(502) 425-7325
(502) 429-7246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
KY102208
KY
101YP2500X
Professional Counselor
Primary
0654
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284430
—
KY
Enumeration date
07/07/2011
Last updated
07/16/2021
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