Individual
STACIE SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(502) 350-7368
Mailing address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(502) 350-7368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1147
KY
1041C0700X
Clinical Social Worker
Primary
258729
KY
Other
Enumeration date
06/08/2011
Last updated
01/24/2024
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