Provider Demographics
NPI:1295847465
Name:MARGLE, CAROLYN RUTH (LPCC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:RUTH
Last Name:MARGLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:RUTH
Other - Last Name:BUSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:420 RITCHIE DR
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-7306
Mailing Address - Country:US
Mailing Address - Phone:270-227-8021
Mailing Address - Fax:866-515-3953
Practice Address - Street 1:420 RITCHIE DR
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-7306
Practice Address - Country:US
Practice Address - Phone:270-227-8021
Practice Address - Fax:866-515-3953
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional