Individual
MR. ZACHARY A PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
T-CADC
Contact information
Practice address
1700 CARGO CT, LOUISVILLE, KY 40299-1938
(800) 805-6989
Mailing address
10532 PROVIDENCE DR, LOUISVILLE, KY 40291-4442
(502) 340-0015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
266551
KY
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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