Individual
CHRISTOPHER SHANE CROLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFTA
Contact information
Practice address
1169 EASTERN PKWY STE 3364, LOUISVILLE, KY 40217-1415
(502) 381-9996
Mailing address
10103 CARDIGAN DR, LOUISVILLE, KY 40299-2805
(859) 321-5879
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
173673
KY
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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