Individual
LYNETTA SHEA SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1036 OAKWOOD AVE, LOUISVILLE, KY 40215-2328
(502) 777-2174
Mailing address
1036 OAKWOOD AVE, LOUISVILLE, KY 40215-2328
(502) 777-2174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
164382
KY
Other
Enumeration date
08/16/2024
Last updated
08/21/2024
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