Individual
HALEY C BOSEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 589-8600
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
272854
KY
1041C0700X
Clinical Social Worker
Primary
257835
KY
Other
Enumeration date
12/29/2022
Last updated
10/02/2023
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