Individual
MRS. CHARLOTTE HAYDON MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC LPAT ATR BC
Contact information
Practice address
1260 SIMMSTOWN RD, LEBANON, KY 40033-8926
(859) 336-9825
Mailing address
1260 SIMMSTOWN RD, LEBANON, KY 40033-8926
(859) 336-9825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0422
KY
221700000X
Art Therapist
92325
KY
Other
Enumeration date
03/02/2007
Last updated
05/16/2011
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