Individual
LOGAN BROOKE CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
415 KY 225, BARBOURVILLE, KY 40906
(859) 209-2340
(606) 545-9555
Mailing address
PO BOX 1479, BARBOURVILLE, KY 40906-5479
(859) 209-2340
(606) 545-9555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
243367
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/11/2018
Last updated
08/01/2018
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