Individual
IVORY SHAE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LMHC
Contact information
Practice address
100 W 3RD ST, SUITE 304, OWENSBORO, KY 42303-4135
(270) 302-1669
(270) 698-9778
Mailing address
100 W 3RD ST, SUITE 304, OWENSBORO, KY 42303-4135
(270) 302-1669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
99128083A
IN
101YP2500X
Professional Counselor
Primary
104689
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99128083A
INDIANA PROFESSIONAL LICENSING AGENCY BEHAVIORAL HEALTH AND HUMAN SERVICES BOARD
IN
Enumeration date
03/21/2010
Last updated
11/04/2024
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