Individual
CHARIS LEIGH GURROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 MCCRACKEN BLVD, PADUCAH, KY 42001-9562
(270) 534-5128
Mailing address
1640 MCCRACKEN BLVD STE 200, PADUCAH, KY 42001-9562
(270) 534-5128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/23/2025
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