Individual
GABRIELLE EBELING-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC, ATR
Contact information
Practice address
2100 S FLOYD ST # W204, LOUISVILLE, KY 40208-2805
(404) 769-1202
Mailing address
2100 S FLOYD ST # W204, LOUISVILLE, KY 40208-2805
(404) 769-1202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
240549
KY
221700000X
Art Therapist
163684
KY
Other
Enumeration date
10/18/2018
Last updated
08/21/2023
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