Individual
SARA E STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1150 PAYNES DEPOT RD, GEORGETOWN, KY 40324-9137
(859) 940-0375
(502) 305-2114
Mailing address
101 N BRADFORD LN UNIT 1195, GEORGETOWN, KY 40324-0318
(502) 305-2114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
284007
KY
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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