Individual
TITERRIELL MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7528 AVALON SPRINGS DR, LOUISVILLE, KY 40228-2588
(502) 386-8638
Mailing address
7528 AVALON SPRINGS DR, LOUISVILLE, KY 40228-2588
(502) 386-8638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
283528
KY
Other
Enumeration date
11/29/2007
Last updated
09/24/2024
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