Individual provider · Type 1 NPI
Anne C. Fajardo
Addiction (Substance Use Disorder) Counselor · Louisville, KY
NPI number
1750044657
Active
Practice location
620 S 3rd St Ste 102
Louisville, KY 40202-2445
Mailing address
9905 Blue Lick Rd
Louisville, KY 40229-1843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750044657
Anne C. Fajardo's National Provider Identifier is 1750044657, issued on Oct 18, 2021. 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 18, 2021.