A A And Associates Approved Alcohol/Drug Program
Psychologist, Addiction (Substance Use Disorder) in Louisville, KY. Organization (NPI-2).
NPI number1306201280
StatusActive
Last updated in NPPESDec 21, 2015
Details
- NPI
- 1306201280
- Entity type
- Organization (NPI-2)
- Legal business name
- A A And Associates Approved Alcohol/Drug Program
- Organization subpart
- No
- Enumeration date
- Dec 21, 2015
- Last updated
- Dec 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TP2701X | Psychologist, Group Psychotherapy | – | – |
Practice location
4006 Dutchmans LaneLouisville, KY 40207
Phone 502-896-6900 · Fax 502-896-8607
Mailing address
4006 Dutchmans Lane Suite 200Louisville, KY 40207
Phone 502-896-6900 · Fax 502-896-8607
Authorized official
Don L. Nanny
Administrator
5028966900
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