Individual
DR. LETE MEKONEN ANSERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN, LCADC, MFT
Contact information
Practice address
4602 SOUTHERN PKWY STE 2C, LOUISVILLE, KY 40214-1442
(502) 777-0213
(855) 894-9366
Mailing address
4602 SOUTHERN PKWY STE 2C, LOUISVILLE, KY 40214-1442
(502) 777-0213
(855) 894-9366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0871
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100506380
—
KY
Enumeration date
05/17/2007
Last updated
08/18/2021
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