Provider Demographics
NPI:1275214470
Name:ST. CLAIR, ANN MARIA (LPCA, NCC, MED)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIA
Last Name:ST. CLAIR
Suffix:
Gender:F
Credentials:LPCA, NCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CAMBRIDGE STATION RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3436
Mailing Address - Country:US
Mailing Address - Phone:502-724-5310
Mailing Address - Fax:
Practice Address - Street 1:1860 WILLIAMSON CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4114
Practice Address - Country:US
Practice Address - Phone:502-724-5310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY286224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health