Individual
MRS. SHANAE LUCINDA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
401 BOGLE ST., SUITE 102, INTRUST HEALTHCARE, SOMERSET, KY 42503
(606) 676-0638
(606) 679-1889
Mailing address
401 BOGLE ST., SUITE 102, INTRUST HEALTHCARE, SOMERSET, KY 42503
(606) 676-0638
(606) 679-1889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0943
KY
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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