Individual
MARLENE CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, BA
Contact information
Practice address
1432 S SHELBY ST, LOUISVILLE, KY 40217-1176
(502) 634-0082
(502) 636-0597
Mailing address
1411 ARLING AVE, LOUISVILLE, KY 40215-1003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202
—
KY
Enumeration date
05/17/2007
Last updated
07/08/2007
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