Individual
AMANDA MARIE VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
912 LILY CREEK RD, LOUISVILLE, KY 40243
(502) 338-0608
Mailing address
4301 CLOVERLEAF DR, LOUISVILLE, KY 40216-3903
(270) 317-5664
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
173716
KY
Other
Enumeration date
02/26/2018
Last updated
07/18/2018
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