HENRY FUQUA

LOUISVILLE, KY
NPI1285445841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KY  119050)
Enumeration Date2025-01-14
Last Update Date2025-01-14
Business Address
MR. HENRY FUQUA CADC
1675 STORY AVE
LOUISVILLE, KY 40206-1739
Phone number: 502-749-6344
Mailing Address
MR. HENRY FUQUA CADC
1675 STORY AVE
LOUISVILLE, KY 40206-1739
Phone number: 502-749-6344
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