Individual
RENESHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 BAXTER AVE STE 201, LOUISVILLE, KY 40204-1177
(502) 383-2969
(502) 309-2970
Mailing address
451 BAXTER AVE STE 201, LOUISVILLE, KY 40204-1177
(502) 309-2970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1551
KY
101YP2500X
Professional Counselor
Primary
309221
KY
Other
Enumeration date
06/07/2012
Last updated
07/20/2026
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