Provider Demographics
NPI:1487403903
Name:FRENCH, GARY JR (LPCA)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:FRENCH
Suffix:JR
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6742
Mailing Address - Country:US
Mailing Address - Phone:502-523-3036
Mailing Address - Fax:
Practice Address - Street 1:2604 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40208-1530
Practice Address - Country:US
Practice Address - Phone:502-377-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY290721101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor