Individual
MR. FARMER MALONE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1013 WHETSTONE WAY, LOUISVILLE, KY 40223-3619
(502) 244-5202
Mailing address
1013 WHETSTONE WAY, LOUISVILLE, KY 40223-3619
(502) 244-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0473
KY
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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