Organization
COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE ANN FARRIS LPCC (CEO)
(859) 520-3041
Entity
Organization
Contact information
Practice address
10 COURT ST, MT STERLING, KY 40353-1303
(859) 520-3041
(859) 432-8935
Mailing address
29 N MAYSVILLE ST, MT STERLING, KY 40353-1471
(859) 520-3041
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
175330
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100503630
—
KY
Enumeration date
08/10/2017
Last updated
08/05/2020
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