Individual
EMILY CONRAD IBERSHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC MT-BC
Contact information
Practice address
3518 KIRBY LN, LOUISVILLE, KY 40299-1542
(502) 509-5380
Mailing address
3518 KIRBY LN, LOUISVILLE, KY 40299-1542
(502) 509-5380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROCOUPCC00214788
KY
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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