Organization
PEMBERTON COUNSELING SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PEMBERTON JR. (PRESIDENT)
(502) 327-8045
Entity
Organization
Contact information
Practice address
1700 UPS DR, SUITE 107, LOUISVILLE, KY 40223-4046
(502) 327-8045
(502) 327-7227
Mailing address
1700 UPS DR, SUITE 107, LOUISVILLE, KY 40223-4046
(502) 327-8045
(502) 327-7227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY-0549
KY
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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