person
Elise Markham, MA,CADC,BCIAC
Addiction (Substance Use Disorder) Counselor in Prospect, Kentucky
NPI 1376598219

Elise Markham is an Addiction (Substance Use Disorder) Counselor based in Louisville, KY and is specialized in Addiction (Substance Use Disorder). Elise Markham practices in Prospect, KY and has the professional credentials of MA,CADC,BCIAC. The NPI Number for Elise Markham is 1376598219 and holds a License No. 0711 (Kentucky).

The current practice location address for Elise Markham is 9509 Us Highway 42, Prospect, KY and can be reached out via phone at 502-644-6975. You can also correspond with Elise Markham through the mailing address at 9909 FOUR SEASONS LN, LOUISVILLE, KY - 40241-2117 (mailing address contact number: 502-644-6975).

Location: 9509 Us Highway 42, Prospect, KY, 40241-2117
person
Provider Profile Details
NPI Number
1376598219
Provider Name
Elise Markham
Credential
MA,CADC,BCIAC
Provider Entity Type
Individual
Gender
Female
Address
9509 Us Highway 42, Prospect, KY, 40241-2117
Phone Number
502-644-6975
Fax Number
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30605018 05 KY
11574925 01 CAQH
institution
Provider Business Practice Location Address Details
Address
9509 Us Highway 42
City
State
Zip
40059-9290
Phone Number
502-644-6975
Fax Number
person
Provider Business Mailing Address Details
Address
9909 Four Seasons Ln
City
State
Zip
40241-2117
Phone Number
502-644-6975
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0711 (Kentucky)
Definition
Definition to come...
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