Individual
SHANALEE J BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
472 MAIN ST, SOUTH SHORE, KY 41175-9558
(866) 233-1955
(606) 783-9952
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
166702
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
01/20/2014
Last updated
02/28/2025
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