Provider Demographics
NPI:1881939163
Name:KEMETHER, CARRIE L (LCPC)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:L
Last Name:KEMETHER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WOOD DUCK LN
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8021
Mailing Address - Country:US
Mailing Address - Phone:410-920-2309
Mailing Address - Fax:
Practice Address - Street 1:19 WOOD DUCK LN
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8021
Practice Address - Country:US
Practice Address - Phone:410-920-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional