Charles, Wanda

Charles, Wanda is an individual health care provider with primary practice located at 2479 Grassy Lick Rd , Mt Sterling KY 40353. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Charles, Wanda can be contacted via phone (859) 498-6574.

Contact Information

Primary practice address
2479 Grassy Lick Rd Mt Sterling KY 40353
Phone: (859) 498-6574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1508990821
LBN Legal business name Charles, Wanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508990821 NPPES
Kentucky MEDICAID 45303849

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