Organization
SOUTHEAST PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER WOOD MA CACD (CENTER DIRECTOR)
(502) 253-8425
Entity
Organization
Contact information
Practice address
920 BLANKENBAKER PKWY, LOUISVILLE, KY 40243-1845
(502) 253-8425
(502) 253-8433
Mailing address
920 BLANKENBAKER PKWY, LOUISVILLE, KY 40243-1845
(502) 253-8425
(502) 253-8433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY-0620
KY
106H00000X
Marriage & Family Therapist
Primary
KY-06-035
KY
Other
Enumeration date
05/23/2007
Last updated
11/23/2009
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