Individual
ANNE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
2102 CRESCENT CT, CRESTWOOD, KY 40014-8756
(502) 222-7099
Mailing address
2102 CRESCENT CT, CRESTWOOD, KY 40014-8756
(502) 222-7099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0070
KY
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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