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Individual

ELLIS JONES GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
LMFT

Contact information

Practice address
2659 KINGS HWY, LOUISVILLE, KY 40205-2648
(502) 249-0860
Mailing address
2659 KINGS HWY, LOUISVILLE, KY 40205-2648
(502) 249-0860

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0754
KY
106H00000X
Marriage & Family Therapist
106833
KY

Other

Enumeration date
01/04/2008
Last updated
05/15/2024
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