Stephen Mudd
Counselor, Addiction (Substance Use Disorder) in Louisville, KY. Individual provider (NPI-1).
NPI number1700919081
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700919081
- Entity type
- Individual (NPI-1)
- Name
- Stephen Mudd
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 68 | KY | Yes |
Practice location
600 S Preston StLouisville, KY 40202-1716
Phone 502-589-1100 · Fax 502-589-8771
Mailing address
101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone 502-589-8600 · Fax 502-589-8771
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