Individual
TROY FESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4710 CHAMPIONS TRACE LN, #107, LOUISVILLE, KY 40218-3495
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284710
—
KY
Enumeration date
12/28/2009
Last updated
06/03/2016
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