Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | KY |
NPI | 1285841825 |
---|---|
Provider Name | Leslie Smith Townsend |
First Address | Louisville, KY 40206-2717 |
Second Address | Louisville, KY 40207-5072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |