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Individual

SHANNON HOLLAND ERWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
475 W MAIN ST SUITE 160, DANVILLE, KY 40422
(859) 324-5910
Mailing address
308 STREAMLAND DR, DANVILLE, KY 40422-1062

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
168496
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168496
LPCC
KY
Enumeration date
03/03/2019
Last updated
03/03/2019
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