Individual
MICHELLE IVY OAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2210 GOLDSMITH LN STE 104, LOUISVILLE, KY 40218-1038
(502) 792-0667
Mailing address
3303 AUDUBON RIDGE DR, LOUISVILLE, KY 40213-1022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
260180
KY
106H00000X
Marriage & Family Therapist
Primary
273275
KY
106H00000X
Marriage & Family Therapist
35002218A
IN
Other
Enumeration date
10/01/2019
Last updated
05/18/2022
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