Individual
CHARLOTTE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
331 SOUTH THIRD STREET, BARDSTOWN, KY 40004
(502) 348-9206
(502) 348-6485
Mailing address
331 S 3RD ST, BARDSTOWN, KY 40004-1032
(502) 348-9206
(502) 348-6485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0356
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11574908
CAQH
—
05
—
30605018
—
KY
Enumeration date
06/03/2006
Last updated
05/23/2014
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