Individual
LESLIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 BARDSTOWN RD UNIT D, LOUISVILLE, KY 40205-1525
(843) 274-0377
Mailing address
1907 BARDSTOWN RD UNIT D, LOUISVILLE, KY 40205-1525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
278390
KY
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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