Alexis C. Custard MRC, LPCA

NPI 1770993396 - Counselor - 101Y00000X

NPI Details
NPI 1770993396
Gender Female
Enumeration Date 05/05/2014
Last Updated 01/26/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
1941 BISHOP LN STE 100
LOUISVILLE KY, 40218-1924, US
Phone (502) 618-5950
Fax
Business Location
1941 BISHOP LN STE 100
LOUISVILLE KY, 40218-1924, US
Phone (502) 618-5950
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Ms. Alexis C. Custard MRC, LPCA NPI is 1770993396, taxonomy code is 101Y00000X Alexis C. Custard MRC, LPCA physically located at 1941 Bishop Ln Ste 100, Louisville KY, 40218-1924. NPI Number Alexis C. Custard MRC, LPCA has the Individual type.

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1770993396 NPI number is provided on an as is basis without warranty of any kind. 1770993396 is maintained by the National Plan & Provider Enumeration System. The contents of Alexis C. Custard MRC, LPCA are for informational purposes only.