Individual
CARLA TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
144 W MAIN ST, GEORGETOWN, KY 40324-1368
(859) 270-4351
Mailing address
144 W MAIN ST, GEORGETOWN, KY 40324-1368
(859) 270-4351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
05/21/2024
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