Individual
MR. EVERETT R ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. COUNSELING
Contact information
Practice address
8619 FENWICK CREEK PL APT F, LOUISVILLE, KY 40220-5841
(502) 500-6652
(502) 491-6671
Mailing address
8619 FENWICK CREEK PL APT F, LOUISVILLE, KY 40220-5841
(502) 500-6652
(502) 491-6671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A93099275
KY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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