Individual
CHELSEY LAYNE GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13121 EASTPOINT PARK BLVD STE F, LOUISVILLE, KY 40223-4192
(502) 612-9129
Mailing address
13121 EASTPOINT PARK BLVD STE F, LOUISVILLE, KY 40223-4192
(502) 262-8767
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1427
TN
106H00000X
Marriage & Family Therapist
Primary
167133
KY
106H00000X
Marriage & Family Therapist
350019282A
IN
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101039050
—
KY
Enumeration date
08/06/2015
Last updated
04/01/2025
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