Individual
M E BETH HARRISON-PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CADC
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 635-4517
Mailing address
4805 SEBREE LN, LOUISVILLE, KY 40218-3917
(502) 216-2060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1136
KY
1041C0700X
Clinical Social Worker
Primary
3579
KY
Other
Enumeration date
07/08/2008
Last updated
08/27/2012
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