Individual
SHANNON GAYLE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, LPCA
Contact information
Practice address
650 HIGH ST, DANVILLE, KY 40422-1235
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
171866
KY
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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