Individual
MS. KANDACE MARIE BARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC, LCADC
Contact information
Practice address
7549 MANSLICK RD, LOUISVILLE, KY 40214-4182
(502) 408-5567
Mailing address
7549 MANSLICK RD, LOUISVILLE, KY 40214-4182
(502) 408-5567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
272878
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001717A
IN
1041C0700X
Clinical Social Worker
257332
KY
1041C0700X
Clinical Social Worker
Primary
272878
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
272878
KY
324500000X
Substance Abuse Rehabilitation Facility
272878
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100914830
—
KY
Enumeration date
09/21/2022
Last updated
08/27/2024
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