Individual
SHARON MELISSA KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171549
KY
101YM0800X
Mental Health Counselor
LPCA 1867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100438550
—
KY
Enumeration date
09/09/2014
Last updated
02/10/2017
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