Cari Lee Gaddie, LPCC

Individual provider Active NPI Professional Counselor · Burkesville, KY

NPI 1811233620 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1811233620
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPCPCC00223778 (KY)
Practice address
301 Keen Street
Burkesville, KY 42717-1011
Phone
(270) 864-1625
Fax
(270) 864-1624
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
165135KYMDProfessional Counselor
LPCPCC00223778KYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 165135 KY
Professional Counselor 101YP2500X LPCPCC00223778 KY Yes

Addresses

Primary practice location

301 Keen Street
Burkesville, KY 42717-1011

Mailing address

PO Box 1011
Burkesville, KY 42717-1011
Phone (270) 864-1625

Other providers in Burkesville, KY

All providers in Burkesville, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.