DARRYL D WALES

LOUISVILLE, KY
NPI1619528387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  120003)
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
DARRYL D WALES CADC
2133 W MARKET ST
LOUISVILLE, KY 40212-1532
Phone number: 502-384-5807
Mailing Address
DARRYL D WALES CADC
2133 W MARKET ST
LOUISVILLE, KY 40212-1532
Phone number:
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