Individual
KIARNI LA TECE HALL-BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
645 S ROY WILKINS AVE STE 100, LOUISVILLE, KY 40203-2072
(502) 561-0943
(502) 561-0944
Mailing address
720 W BROADWAY STE 202, LOUISVILLE, KY 40202-3245
(502) 561-0943
(502) 561-0944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166636
KY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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