Provider Information for 1508239229
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CHARLOTTE FARRIS LPCC
Sex: Female
NPI: 1508239229
Last Updated: 2022-02-14
Certification Date: 2022-02-14
Certification Date: 2022-02-14
Details
Name | Value | ||||||||
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NPI | 1508239229 | ||||||||
Enumeration Date | 2015-11-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 29 N MAYSVILLE ST MOUNT STERLING, KY 40353-1471 United States Phone: 859-520-3041 | Fax:859-432-8935 | ||||||||
Primary Practice Address | 29 N MAYSVILLE ST MOUNT STERLING, KY 40353-1471 United States Phone: 185-952-0304 | Fax:859-432-8935 | ||||||||
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