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Ms. Carol Lynn Pasewark, MED,LPC
Counselor in Fort Campbell, Kentucky
NPI 1982601803

Carol Lynn Pasewark is a Counselor based in Fort Campbell, KY. Carol Lynn Pasewark practices in Fort Campbell, KY and has the professional credentials of MED,LPC. The NPI Number for Carol Lynn Pasewark is 1982601803 and holds a License No. 2004000710 (Kentucky).

The current practice location address for Carol Lynn Pasewark is 650 Joel Dr, Fort Campbell, KY and can be reached out via phone at 270-412-3112.

Location: 650 Joel Dr, Fort Campbell, KY, 42223-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982601803
Provider Name
Carol Lynn Pasewark
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
650 Joel Dr, Fort Campbell, KY, 42223-5318
Phone Number
270-412-3112
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437294816 01 MO CEDAR RIDGE NPI
1649269622 01 MO GROUP BILLING NPI
institution
Provider Business Practice Location Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-412-3112
Fax Number
person
Provider Business Mailing Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-412-3112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2004000710 (Missouri)
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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