Individual
SAMANTHA LIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
(502) 451-1221
Mailing address
1028 BARRET AVE, LOUISVILLE, KY 40204-1667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304254
MN
101YP2500X
Professional Counselor
Primary
128572
KY
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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