Individual
CHANTAY MARIE COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 561-1112
Mailing address
302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
(502) 751-1190
(502) 561-1113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280494
KY
Other
Enumeration date
11/08/2024
Last updated
02/11/2025
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