Individual
CARLA MARIE SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC, LCADC
Contact information
Practice address
30 MEDPARK SQUARE DR STE 2, SOMERSET, KY 42503-1709
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
268335
KY
101YP2500X
Professional Counselor
Primary
273150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100810360
—
KY
Enumeration date
09/13/2019
Last updated
09/26/2024
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