Individual provider · NPI-1

Rashaad Abdur-Rahman

Social Worker, Clinical · Louisville, KY

NPI number1124462023
StatusActive
Last updated in NPPESApr 22, 2013

Details

NPI
1124462023
Entity type
Individual (NPI-1)
Name
Rashaad Abdur-Rahman
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2013
Last updated
Apr 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical3725KYYes

Practice location

2225 W Broadway
Louisville, KY 40211-1003

Phone 502-589-8600 · Fax 502-589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

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