Organization
CAMPBELLSVILLE UNIVERSITY
Active
Other names
CU Well Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN HOLLIS PHD LMFT (MMFT PROGRAM DIRECTOR)
(502) 753-0264
Entity
Organization
Contact information
Practice address
4420 DIXIE HWY STE 230, LOUISVILLE, KY 40216-2986
(502) 753-0264
Mailing address
4420 DIXIE HWY STE 230, LOUISVILLE, KY 40216-2986
(502) 753-0264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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