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Individual

CHARLENE BROWN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
24 S. FT. THOMAS AVE. UNIT 75289, FT. THOMAS, KY 41075-0289
(513) 580-7390
Mailing address
24 S FORT THOMAS AVE UNIT 75289, FORT THOMAS, KY 41075-7512
(513) 580-7390

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
282937
KY
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
246724
KY

Other

Enumeration date
01/18/2018
Last updated
03/05/2023
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