Individual
KRISTY TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
99 OFFICE PARK DR, SOMERSET, KY 42501-4150
(606) 398-7000
Mailing address
116 BUCKHORN LN, BUCKHORN, KY 41721-8987
(606) 398-7000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
KY-1249
KY
101YM0800X
Mental Health Counselor
Primary
241000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100740540
—
KY
Enumeration date
08/22/2011
Last updated
06/04/2021
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