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Edwin Raidt
Counselor in Shelbyville, Kentucky
NPI 1265793905

Edwin Raidt is a Counselor based in Louisville, KY. Edwin Raidt practices in Shelbyville, KY. The NPI Number for Edwin Raidt is 1265793905 and holds a License No. 1564 (Kentucky).

The current practice location address for Edwin Raidt is 250 Alpine Dr, Shelbyville, KY and can be reached out via phone at 502-589-8600 and via fax at 502-589-8771. You can also correspond with Edwin Raidt through the mailing address at 101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY - 40202-1423 (mailing address contact number: ).

Location: 250 Alpine Dr, Shelbyville, KY, 40202-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265793905
Provider Name
Edwin Raidt
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 Alpine Dr, Shelbyville, KY, 40202-1423
Phone Number
502-589-8600
Fax Number
502-589-8771
Provider Enumeration Date
05/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 Alpine Dr
City
Shelbyville
State
Kentucky
Zip
40065-8880
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider Business Mailing Address Details
Address
250 Alpine Dr
City
Shelbyville
State
Kentucky
Zip
40065-8880
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1564 (Kentucky)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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