Individual
SANDRA E BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCADC
Contact information
Practice address
400 RING RD, ELIZABETHTOWN, KY 42701-8799
(270) 900-0576
Mailing address
1966 NOE RD, CAMPBELLSVILLE, KY 42718-9570
(270) 789-7883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
276893
KY
101YM0800X
Mental Health Counselor
246250
KY
101YP2500X
Professional Counselor
Primary
278254
KY
Other
Enumeration date
02/14/2018
Last updated
09/29/2022
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