Individual
MRS. SHANNON SUE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2035 REGENCY RD, SUITE 8, LEXINGTON, KY 40503
(859) 229-1053
Mailing address
1219 ELDEMERE RD, LEXINGTON, KY 40502
(859) 948-1534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
261730
KY
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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