Doctor Name: | MS. AUDREY A. SIMEK |
NPI Number: | 1245348721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | KY 0249 |
Business Practice Address: | 209 E Stephen Foster Ave Bardstown, KY - 400041513 |
Business Phone Number: | 5023310030 |
Business Fax Number: | 5023490762 |
Mailing Address: | 209 E Stephen Foster Ave, BARDSTOWN |
State: | KY |
Postal Code: | 400041513 |
Phone Number: | 5023310030 |
Fax Number: | 5023490762 |
NPI Enumeration Date: | 08/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | KY 0249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |