Individual
STACI SHERRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3701 LANSDOWNE DRIVE, ASHLAND, KY 41102
(606) 324-3005
(606) 329-1530
Mailing address
P.O. BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100283040
—
KY
Enumeration date
09/05/2012
Last updated
08/29/2018
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