Provider First Line Business Practice Location Address:
714 LYNDON LANE SUITE 7
Provider Second Line Business Practice Location Address:
EAST LOUISVILLE COUNSELING
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40222-4643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-592-8525
Provider Business Practice Location Address Fax Number:
502-425-2540
Provider Enumeration Date:
11/03/2006