Individual
JACQUELINE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
120 N 3RD ST, DANVILLE, KY 40422-1652
(859) 759-1223
Mailing address
151 SHORESIDE DR APT 12206, LEXINGTON, KY 40515-6448
(606) 224-3618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261514
KY
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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