Individual
WANDA SYLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 413-0102
Mailing address
1811 STANDARD AVE, LOUISVILLE, KY 40210-1639
(502) 413-0102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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