Individual
CAITLIN MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10026
MA
101YP2500X
Professional Counselor
Primary
172708
KY
Other
Enumeration date
07/21/2014
Last updated
05/03/2017
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