Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 908-9410
Mailing address
4401 MACKENZIE PL, LOUISVILLE, KY 40241-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280657
KY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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