Individual
VICTOR EDDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3703 TAYLORSVILLE RD STE 222, LOUISVILLE, KY 40220-1331
(502) 650-3804
Mailing address
3703 TAYLORSVILLE RD STE 222, LOUISVILLE, KY 40220-1331
(502) 650-3804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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