Individual
CATHERINE ANN COPPAGE ELESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC, LPCA
Contact information
Practice address
1825 FRANKFORT AVE, LOUISVILLE, KY 40206-3101
(317) 652-1342
Mailing address
14022 ECHO HILL TRL, LOUISVILLE, KY 40299-5168
(317) 652-1342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
172586
KY
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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