Individual
SARA ELIZABETH CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
2645 LEITCHFIELD RD, ELIZABETHTOWN, KY 42701-8306
(270) 234-8180
(270) 234-8179
Mailing address
2645 LEITCHFIELD RD STE 104, ELIZABETHTOWN, KY 42701-8306
(270) 234-8180
(270) 234-8179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168441
KY
101YM0800X
Mental Health Counselor
168441
KY
101YP2500X
Professional Counselor
5051
KY
1041C0700X
Clinical Social Worker
Primary
5051
KY
Other
Enumeration date
07/12/2019
Last updated
09/25/2021
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