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Mary Rouholiman, MFTA
Counselor in Carrollton, Kentucky
NPI 1619127636

Mary Rouholiman is a Counselor based in Carrollton, KY. Mary Rouholiman practices in Carrollton, KY and has the professional credentials of MFTA. The NPI Number for Mary Rouholiman is 1619127636 and holds a License No. KY-08-017 (Kentucky).

The current practice location address for Mary Rouholiman is 1714 Highland Ave, Carrollton, KY and can be reached out via phone at 502-732-9331. You can also correspond with Mary Rouholiman through the mailing address at 1714 HIGHLAND AVE, CARROLLTON, KY - 41008 (mailing address contact number: 502-732-9331).

Location: 1714 Highland Ave, Carrollton, KY, 41008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619127636
Provider Name
Mary Rouholiman
Credential
MFTA
Provider Entity Type
Individual
Gender
Female
Address
1714 Highland Ave, Carrollton, KY, 41008
Phone Number
502-732-9331
Fax Number
Provider Enumeration Date
09/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
610661458 01 KY GROUP TAX ID
institution
Provider Business Practice Location Address Details
Address
1714 Highland Ave
City
Carrollton
State
Kentucky
Zip
41008
Phone Number
502-732-9331
Fax Number
person
Provider Business Mailing Address Details
Address
1714 Highland Ave
City
Carrollton
State
Kentucky
Zip
41008
Phone Number
502-732-9331
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
KY-08-017 (Kentucky)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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