Individual
GRAYSON BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
7400 NEW LA GRANGE RD STE 304, LOUISVILLE, KY 40222-4870
(502) 385-4151
Mailing address
7400 NEW LA GRANGE RD STE 304, LOUISVILLE, KY 40222-4870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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