Individual
KENNETH SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 280-2080
Mailing address
8716 LONGBOROUGH WAY, LOUISVILLE, KY 40299-1133
(502) 384-9337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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