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Individual

BEVERLY LYNNE SHUFFETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LCADC

Contact information

Practice address
1327 E BROADWAY ST STE B, CAMPBELLSVILLE, KY 42718-1599
(270) 789-4194
Mailing address
1745 RALPH VAUGHN RD, GREENSBURG, KY 42743-7797
(270) 465-1134

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
284568
KY

Other

Enumeration date
06/01/2023
Last updated
02/04/2024
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