Individual
SHANNON MARIE GOSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 633-1007
Mailing address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 633-1007
(614) 487-9319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
04/13/2026
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