Individual
MR. FRED GERALD HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1425 STORY AVE, LOUISVILLE, KY 40206-1735
(502) 584-1369
(502) 585-3989
Mailing address
1425 STORY AVE, LOUISVILLE, KY 40206-1735
(502) 584-1369
(502) 585-3989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
521
KY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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