Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 3977 | KY |
NPI | 1023150356 |
---|---|
Provider Name | Shari Stewart |
First Address | Louisville, KY 40222-4718 |
Second Address | Louisville, KY 40222-4718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |