Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0860 | KY |
NPI | 1003053687 |
---|---|
Provider Name | Barbara Carter |
First Address | Louisville, KY 40202-1423 |
Second Address | Shepherdsville, KY 40165-0690 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2009 |
Last Update Date | 30/06/2011 |