Individual
TERESA PHELPS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3605 FOXGLOVE LN, LOUISVILLE, KY 40241-2633
(502) 376-3845
Mailing address
3605 FOXGLOVE LN, LOUISVILLE, KY 40241-2633
(502) 376-3845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
286716
KY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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