Individual
MR. JASON SCOTT UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, ICADC
Contact information
Practice address
214 E BRECKINRIDGE ST, LOUISVILLE, KY 40203
(812) 653-1908
(502) 371-0829
Mailing address
214 E BRECKINRIDGE ST, LOUISVILLE, KY 40203
(812) 653-1908
(502) 371-0829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187
PUBLIC PROTECTION CABINET
KY
Enumeration date
01/24/2014
Last updated
01/24/2014
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