Individual
CARROLLYNN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A, LCAC-A
Contact information
Practice address
2325 Q ST, BEDFORD, IN 47421-4718
(812) 279-4673
Mailing address
2200 W SUDBURY DR APT B4, BLOOMINGTON, IN 47403-3740
(219) 508-0257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900115A
IN
101YM0800X
Mental Health Counselor
Primary
88002017A
IN
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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