| Provider Type: | Behavioral Health & Social Service Providers |
| Provider Classification: | Counselor |
| Provider Specialization: | Mental Health |
| Address: |
2141 Spencer Ct La Grange, KY 40031-6742 |
| Phone: | (502) 589-8600 |
| Fax: | (502) 589-8771 |
| Gender: | Male |
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