Individual provider · Type 1 NPI

Theodore Luckey

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1437346731 Active

Practice location

1935 Bluegrass Ave
Louisville, KY 40215-1145

Call (502) 366-0705 Map

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437346731

Theodore Luckey's National Provider Identifier is 1437346731, issued on Oct 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Oct 3, 2007.