Individual
MRS. REBEKAH BURKE COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CSW
Contact information
Practice address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 882-0225
Mailing address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 882-0225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6750
KY
106H00000X
Marriage & Family Therapist
Primary
MFTMFT00223555
KY
Other
Enumeration date
07/16/2013
Last updated
01/02/2016
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