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Individual

JULIE CARMEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 SAPPHIRE CT, BARDSTOWN, KY 40004-8889
(502) 827-9736
Mailing address
118 SAPPHIRE CT, BARDSTOWN, KY 40004-8889
(502) 827-9736
(502) 827-9736

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
269018
KY
101Y00000X
Counselor
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269018
KY LICENSE LPCC
KY
05
7100743900
KY
Enumeration date
06/28/2012
Last updated
07/20/2024
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