Provider Demographics
NPI:1508295049
Name:ALLISON, CHARLOTTE (LPCC)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:ALLISON
Suffix:
Gender:
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 3932
Mailing Address - Street 2:
Mailing Address - City:WEST SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42564-3932
Mailing Address - Country:US
Mailing Address - Phone:606-401-2966
Mailing Address - Fax:066-244-4111
Practice Address - Street 1:100 KEYSTONE DR STE C
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8587
Practice Address - Country:US
Practice Address - Phone:606-401-2966
Practice Address - Fax:606-244-4111
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242435101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health