Provider Demographics
NPI:1508295049
Name:ALLISON, CHARLOTTE (LPCC)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:ALLISON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1325
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-1325
Mailing Address - Country:US
Mailing Address - Phone:606-526-8131
Mailing Address - Fax:606-528-8661
Practice Address - Street 1:789 EASTERN BYP STE 23
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2421
Practice Address - Country:US
Practice Address - Phone:859-544-8171
Practice Address - Fax:859-544-8197
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional